Circles of Life Residential Care II, LLC

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

Legal business name

CIRCLES OF LIFE RESIDENTIAL CARE II, LLC

Doing business as

RENATAS HOME FOR THE ELDERLY

Practice address

2268 W Peggy Dr
Queen Creek, AZ 85142-6682

Phone

(480) 676-3513

NPI assigned

May 21, 2021

Organization subpart

No

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

Authorized official

Name

Connie Edmonds

Title

Owner

Phone

(480) 676-3513

Specialties & licenses 1

Addresses

Other names 1

• RENATAS HOME FOR THE ELDERLY Doing business as

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

{
    "created_epoch": "1621555200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1621555200000",
    "number": "1295300242",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 978",
            "city": "QUEEN CREEK",
            "state": "AZ",
            "postal_code": "851421820"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2268 W PEGGY DR",
            "city": "QUEEN CREEK",
            "state": "AZ",
            "postal_code": "851426682",
            "telephone_number": "480-676-3513"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CIRCLES OF LIFE RESIDENTIAL CARE II, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-05-21",
        "last_updated": "2021-05-21",
        "certification_date": "2021-05-21",
        "status": "A",
        "authorized_official_last_name": "EDMONDS",
        "authorized_official_first_name": "CONNIE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "480-676-3513"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "RENATAS HOME FOR THE ELDERLY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Katherine Elaine Christopherson, MA, LPC
• Carrie Church, NP
• Miranda Church, SLPA
• Cigna Healthcare of Arizona, Inc.
• Circles of Life Residential Care and Memory Care LLC
• Erin Cisewski, PA-C
• CK Senior Care LLC
• Jenifer Lynn Clark, FNP
• Megan Clark
• Daniella Rochelle Cleveland, FNP

• Assisted Living Facility in Queen Creek, AZ
• Providers in Queen Creek, AZ by specialty
• Assisted Living Facility in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 21, 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.