Kindred Circle Care LLC

Primary specialty

In Home Supportive Care AgencyTaxonomy code 253Z00000X

Legal business name

KINDRED CIRCLE CARE LLC

Practice address

8 North E St
Lakeview, OR 97630

Phone

(541) 947-2088

Fax

(541) 947-2484

NPI assigned

Nov 12, 2019

Last updated

Jan 30, 2023By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Marissa Newman

Title

President

Phone

(541) 417-2232

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, and the practitioner matching its NPPES authorized official.

• Mickie Lynn Gocken, AGNP-C

  • Gerontology Nurse Practitioner
  • Lakeview, OR
  • NPI 1457173320
  NPD

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

{
    "created_epoch": "1573516800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1675036800000",
    "number": "1144865312",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "947 LINDA LN",
            "city": "LAKEVIEW",
            "state": "OR",
            "postal_code": "976301663"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8 NORTH E ST",
            "city": "LAKEVIEW",
            "state": "OR",
            "postal_code": "97630",
            "telephone_number": "541-947-2088",
            "fax_number": "541-947-2484"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KINDRED CIRCLE CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-11-12",
        "last_updated": "2023-01-30",
        "certification_date": "2023-01-30",
        "status": "A",
        "authorized_official_last_name": "NEWMAN",
        "authorized_official_first_name": "MARISSA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "541-417-2232"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Stephen A Hussey, M.D.
• Alexander Johnson
• Amanda Johnson
• Taylor Christine Johnston, QMHA, CADC
• Olivia M Kappel, LMT, CST, NUT
• Kindred Heritage DME LLC
• Klamath Ophthalmology, PC (Lakeview Eye Center)
• Megan Kruse, RN
• Darrel Kyniston Kyniston, CADC 1
• Lake County Esd

• In Home Supportive Care Agency in Lakeview, OR
• Providers in Lakeview, OR by specialty
• In Home Supportive Care Agency in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 30, 2023; 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.