Organization Active NPI

Circle of Care Homecare Resources, LLC

  • Adult Companion
  • Tustin, CA
National Provider Identifier
1295208015
Registry record updated Jan 3, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult CompanionTaxonomy code 372600000X
Legal business name
CIRCLE OF CARE HOMECARE RESOURCES, LLC
Practice address
17772 Irvine Blvd Ste 211
Tustin, CA 92780-3234
Phone
(949) 388-0018
NPI assigned
Jan 3, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 3, 2019

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

Authorized official

Name
Michelle Cruz Lopez
Title
Provider Relation Manager
Phone
(626) 747-5019

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult CompanionGroup: 193400000X SINGLE SPECIALTY GROUP 372600000X Primary

Addresses

Primary practice location

17772 Irvine Blvd Ste 211
Tustin, CA 92780-3234

Mailing address

17772 Irvine Blvd Ste 211
Tustin, CA 92780-3234

National Provider Directory

National Provider Directory

Locations

17772 Irvine Blvd
Ste 211
Tustin, CA 92780
Phone (949) 388-0018

NPI Registry JSON

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

{
    "created_epoch": "1546473600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1546473600000",
    "number": "1295208015",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17772 IRVINE BLVD STE 211",
            "city": "TUSTIN",
            "state": "CA",
            "postal_code": "927803234"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17772 IRVINE BLVD STE 211",
            "city": "TUSTIN",
            "state": "CA",
            "postal_code": "927803234",
            "telephone_number": "949-388-0018"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CIRCLE OF CARE HOMECARE RESOURCES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-01-03",
        "last_updated": "2019-01-03",
        "status": "A",
        "authorized_official_last_name": "LOPEZ",
        "authorized_official_first_name": "MICHELLE",
        "authorized_official_middle_name": "CRUZ",
        "authorized_official_title_or_position": "PROVIDER RELATION MANAGER",
        "authorized_official_telephone_number": "626-747-5019"
    },
    "taxonomies": [
        {
            "code": "372600000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Adult Companion",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tustin, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 3, 2019; 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.