Organization Active NPI

Circle of Life Rehabilitation Services

  • In Home Supportive Care Agency
  • Mount Ayr, IA
National Provider Identifier
1285034140
Registry record updated Aug 28, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
License
253Z00000X Issued in IA
Legal business name
CIRCLE OF LIFE REHABILITATION SERVICES
Practice address
112 W Madison St
Mount Ayr, IA 50854-1630
Phone
(641) 464-8058
Fax
(641) 464-8089
NPI assigned
Aug 28, 2014
Last updated
Aug 28, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 28, 2014

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

Authorized official

Name
Mrs. Karen Jean Leronard, BA PSYCHOLOGY
Title
Executive Director
Phone
(641) 464-8058

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
In Home Supportive Care Agency 253Z00000X 253Z00000X IA Primary

Addresses

Primary practice location

112 W Madison St
Mount Ayr, IA 50854-1630

Mailing address

112 W Madison St
P.O.Box 604
Mount Ayr, IA 50854-1630
Phone (641) 464-8058

Other identifiers 1

IdentifierTypeStateIssuer
X000109704MedicaidIA

National Provider Directory

National Provider Directory

Locations

112 W Madison St
Mount Ayr, IA 50854
Phone (641) 464-8058

NPI Registry JSON

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

{
    "created_epoch": "1409184000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1409184000000",
    "number": "1285034140",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "112 W MADISON ST",
            "address_2": "P.O.BOX 604",
            "city": "MOUNT AYR",
            "state": "IA",
            "postal_code": "508541630",
            "telephone_number": "641-464-8058",
            "fax_number": "641-464-8089"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "112 W MADISON ST",
            "city": "MOUNT AYR",
            "state": "IA",
            "postal_code": "508541630",
            "telephone_number": "641-464-8058",
            "fax_number": "641-464-8089"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CIRCLE OF LIFE REHABILITATION SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-08-28",
        "last_updated": "2014-08-28",
        "status": "A",
        "authorized_official_last_name": "LERONARD",
        "authorized_official_first_name": "KAREN",
        "authorized_official_middle_name": "JEAN",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "641-464-8058",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "BA PSYCHOLOGY"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": "IA",
            "license": "253Z00000X",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "X000109704",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Mount Ayr, IA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 28, 2014; 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.