Circle of Life Kola Home Care, LLC

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Legal business name

CIRCLE OF LIFE KOLA HOME CARE, LLC

Practice address

1433 E Franklin Ave
Suite 16
Minneapolis, MN 55404-2101

Phone

(612) 871-2474

Fax

(612) 870-3874

NPI assigned

Jan 11, 2011

Organization subpart

No

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

Authorized official

Name

Himmat Singh

Title

Ceo

Phone

(612) 871-2474

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 2

• Circle of Life Kola Home Care Doing business as
• Kola Circle of Life Home Care Doing business as

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

{
    "created_epoch": "1294704000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1616630400000",
    "number": "1154626844",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1433 E FRANKLIN AVE",
            "address_2": "SUITE 16",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554042101",
            "telephone_number": "612-871-2474",
            "fax_number": "612-870-3874"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1433 E FRANKLIN AVE",
            "address_2": "SUITE 16",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554042101",
            "telephone_number": "612-871-2474",
            "fax_number": "612-870-3874"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CIRCLE OF LIFE KOLA HOME CARE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-01-11",
        "last_updated": "2021-03-25",
        "certification_date": "2021-03-25",
        "status": "A",
        "authorized_official_last_name": "SINGH",
        "authorized_official_first_name": "HIMMAT",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "612-871-2474"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "32190",
            "state": "ND"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "9558300",
            "state": "SD"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Circle of Life Kola Home Care",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Kola Circle of Life Home Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Madalyn Lazur Cioci, MSW, LICSW
• Annamaria Cioffi, APRN, CPNP-PC
• Robert J Cipolle, PHARM.D.
• Circle Back Psychotherapy
• Circle of Life Home Care Anishinaabe, LLC
• Circle of Support Center L. L. C.
• Molly K Cirillo, LICSW
• Angie Josselyn Cisneros Rosero
• Carly Elizabeth Cison
• Lisa A. Citak, CRNA

• All providers in Minneapolis, MN
• Home Health Agency in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 25, 2021; 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.