Circle of Love , Inc

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Legal business name

CIRCLE OF LOVE , INC

Practice address

5050 Research CT Ste 800
Suwanee, GA 30024-6606

Phone

(770) 454-7979

NPI assigned

Sep 29, 2022

Organization subpart

No

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

Authorized official

Name

Wooiyi Yin

Title

Ceo

Phone

(770) 612-1388

Specialties & licenses 2

Addresses

Other identifiers 2

Tax ID family

Circle of Love Adult Day Center3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

• Circle of Love , Inc

  • Adult Day Care Clinic/Center
  • Chamblee, GA
  • NPI 1780003020
  NPD tax ID
• Circle of Love Adult Day Center

  • Adult Day Care Clinic/Center
  • Peachtree Corners, GA
  • NPI 1053895003
  NPD tax ID

Locations

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

{
    "created_epoch": "1664409600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1664409600000",
    "number": "1154045581",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3850 HOLCOMB BRIDGE RD STE 350",
            "city": "PEACHTREE CORNERS",
            "state": "GA",
            "postal_code": "300925292"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5050 RESEARCH CT STE 800",
            "city": "SUWANEE",
            "state": "GA",
            "postal_code": "300246606",
            "telephone_number": "770-454-7979"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CIRCLE OF LOVE , INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-09-29",
        "last_updated": "2022-09-29",
        "certification_date": "2022-09-29",
        "status": "A",
        "authorized_official_last_name": "YIN",
        "authorized_official_first_name": "WOOIYI",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "770-612-1388"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QA0600X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Day Care",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "003254436A",
            "state": "GA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "003254436B",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Amanda Gail Chung, MS, CCC-SLP
• Emily Chung, FNP-C
• Hyunjae Chung, DPT
• Richard Young Shin Chung, O.M.D
• Tony Chung, DPT
• Frank Clayton, DDS
• Robert Douglas Clayton, M.D.
• Ronald Mark Clayton, M.S., L.P.C.
• Melissa Clements
• Nadya Clontz, LAPC

• Community/Behavioral Health Agency in Suwanee, GA
• Providers in Suwanee, GA by specialty
• Community/Behavioral Health Agency in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 29, 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.