Eldercircle

Primary specialty

Adult Day Care Clinic/CenterTaxonomy code 261QA0600X

Legal business name

ELDERCIRCLE

Practice address

400 River Rd
Grand Rapids, MN 55744-3784

Phone

(218) 999-9233

NPI assigned

Jul 23, 2019

Organization subpart

No

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

Authorized official

Name

Renee Bymark

Title

Executive Director

Phone

(218) 999-9233

Specialties & licenses 3

Addresses

Electronic endpoints 1

Locations

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

{
    "created_epoch": "1563840000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1676505600000",
    "number": "1235782749",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "400 RIVER RD STE 1",
            "city": "GRAND RAPIDS",
            "state": "MN",
            "postal_code": "557443784",
            "telephone_number": "218-999-9233",
            "fax_number": "218-999-7543"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 RIVER RD",
            "city": "GRAND RAPIDS",
            "state": "MN",
            "postal_code": "557443784",
            "telephone_number": "218-999-9233"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELDERCIRCLE",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-07-23",
        "last_updated": "2023-02-16",
        "certification_date": "2023-02-16",
        "status": "A",
        "authorized_official_last_name": "BYMARK",
        "authorized_official_first_name": "RENEE",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "218-999-9233"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QA0600X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Day Care",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "385H00000X",
            "taxonomy_group": "",
            "desc": "Respite Care",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "ecircle@eldercircle.org",
            "affiliation": "N",
            "address_1": "400 River Rd",
            "city": "Grand Rapids",
            "state": "MN",
            "country_code": "US",
            "postal_code": "557443784",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Lauren G Dozier, FNP
• Taylor Draper, PHD
• Kalie R Drazenovich, CNP
• Paul Lee Dubbels, O.D.
• Melissa Ann Eiden, RN
• Larry Vernon Elj, RN
• Ellen S. Teigland, L.P.,P.a.
• Jason Kirk Eller, D.C.
• Embrace Mental Health
• Brenda S. Enright, NURSE PRACTITIONER

• Adult Day Care Clinic/Center in Grand Rapids, MN
• Providers in Grand Rapids, MN by specialty
• Adult Day Care Clinic/Center in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 16, 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.