Circles of Life Residential Care and Memory Care LLC

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

Legal business name

CIRCLES OF LIFE RESIDENTIAL CARE AND MEMORY CARE LLC

Practice address

22730 E Avenida del Valle
Queen Creek, AZ 85142-9052

Phone

(480) 676-3513

Fax

(480) 676-3514

NPI assigned

Sep 23, 2022

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Connie EdmondsNPI 1710604210

Title

Ceo

Phone

(480) 676-3513

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Connie Edmonds

  • Assisted Living Facility
  • San Tan Valley, AZ
  • NPI 1710604210
  NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1663891200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1663891200000",
    "number": "1124741244",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 978",
            "city": "QUEEN CREEK",
            "state": "AZ",
            "postal_code": "851421820",
            "telephone_number": "480-676-3513"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22730 E AVENIDA DEL VALLE",
            "city": "QUEEN CREEK",
            "state": "AZ",
            "postal_code": "851429052",
            "telephone_number": "480-676-3513",
            "fax_number": "480-676-3514"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CIRCLES OF LIFE RESIDENTIAL CARE AND MEMORY CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-09-23",
        "last_updated": "2022-09-23",
        "certification_date": "2022-09-23",
        "status": "A",
        "authorized_official_last_name": "EDMONDS",
        "authorized_official_first_name": "CONNIE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "480-676-3513"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Wayne Christensen, D.C.
• Katherine Elaine Christopherson, MA, LPC
• Carrie Church, NP
• Miranda Church, SLPA
• Cigna Healthcare of Arizona, Inc.
• Circles of Life Residential Care II, LLC
• Erin Cisewski, PA-C
• CK Senior Care LLC
• Jenifer Lynn Clark, FNP
• Megan Clark

• Assisted Living Facility in Queen Creek, AZ
• Providers in Queen Creek, AZ by specialty
• Assisted Living Facility in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 23, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.