Organization Active NPI

Core Community Circle, LLC

  • Adult Care Home Facility
  • Norman, OK
National Provider Identifier
1295551653
Registry record updated Dec 2, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Care Home FacilityTaxonomy code 311ZA0620X
Legal business name
CORE COMMUNITY CIRCLE, LLC
Practice address
1508 Fawn Run Xing
Norman, OK 73071-9717
Phone
(405) 408-5297
NPI assigned
Dec 2, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 2, 2024

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

Authorized official

Name
Gladys Yeluma Jangha, RN.
Title
Manager
Phone
(405) 408-5297

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Care Home Facility 311ZA0620X Primary

Addresses

Primary practice location

1508 Fawn Run Xing
Norman, OK 73071-9717

Mailing address

1508 Fawn Run Xing
Norman, OK 73071-9717
Phone (405) 408-5297

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1733097600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1733097600000",
    "number": "1295551653",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1508 FAWN RUN XING",
            "city": "NORMAN",
            "state": "OK",
            "postal_code": "730719717",
            "telephone_number": "405-408-5297"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1508 FAWN RUN XING",
            "city": "NORMAN",
            "state": "OK",
            "postal_code": "730719717",
            "telephone_number": "405-408-5297"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CORE COMMUNITY CIRCLE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-12-02",
        "last_updated": "2024-12-02",
        "certification_date": "2024-12-01",
        "status": "A",
        "authorized_official_last_name": "JANGHA",
        "authorized_official_first_name": "GLADYS",
        "authorized_official_middle_name": "YELUMA",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "405-408-5297",
        "authorized_official_credential": "RN."
    },
    "taxonomies": [
        {
            "code": "311ZA0620X",
            "taxonomy_group": "",
            "desc": "Custodial Care Facility, Adult Care Home",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Norman, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 2, 2024; 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.