Circle of Support, Inc.

Primary specialty

Developmentally Disabled Services Day Training AgencyTaxonomy code 251C00000X

License

044-R-0079 Issued in GA

Legal business name

CIRCLE OF SUPPORT, INC.

Practice address

4855 Wolverton Dr
Lithonia, GA 30038-3721

Phone

(770) 987-7355

Fax

(770) 987-8742

NPI assigned

Jan 24, 2007

Organization subpart

No

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

Authorized official

Name

Ms. Harriet Bess Harris, LPN

Title

Executive Director

Phone

(770) 987-7355

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1169596800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1265587588",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4855 WOLVERTON DR",
            "city": "LITHONIA",
            "state": "GA",
            "postal_code": "300383721",
            "telephone_number": "770-987-7355",
            "fax_number": "770-987-8742"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4855 WOLVERTON DR",
            "city": "LITHONIA",
            "state": "GA",
            "postal_code": "300383721",
            "telephone_number": "770-987-7355",
            "fax_number": "770-987-8742"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CIRCLE OF SUPPORT, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-24",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "HARRIS",
        "authorized_official_first_name": "HARRIET",
        "authorized_official_middle_name": "BESS",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "770-987-7355",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "LPN"
    },
    "taxonomies": [
        {
            "code": "251C00000X",
            "taxonomy_group": "",
            "desc": "Day Training, Developmentally Disabled Services",
            "state": "GA",
            "license": "044-R-0079",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Developmentally Disabled Services Day Training Agency in Lithonia, GA
• Providers in Lithonia, GA by specialty
• Developmentally Disabled Services Day Training Agency in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.