Circle of Life, LLC

Primary specialty

Intellectual and/or Developmental Disabilities Community Based Residential Treatment FacilityTaxonomy code 320900000X

Legal business name

CIRCLE OF LIFE, LLC

Practice address

138 S Rosemont Rd Ste 200
Virginia Beach, VA 23452-4336

Phone

(757) 403-9458

NPI assigned

Jul 9, 2018

Organization subpart

No

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

Authorized official

Name

Mrs. Dalesha Smith, MAPC, QMHP

Title

Director

Phone

(757) 553-6158

Specialties & licenses 3

Addresses

Other names 1

• C.o.L Residential Other name

Locations

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

{
    "created_epoch": "1531094400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1720483200000",
    "number": "1316433709",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3630 S PLAZA TRL STE 210D",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "234523366",
            "telephone_number": "757-553-6158"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "138 S ROSEMONT RD STE 200",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "234524336",
            "telephone_number": "757-403-9458"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CIRCLE OF LIFE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-07-09",
        "last_updated": "2024-07-09",
        "certification_date": "2024-07-09",
        "status": "A",
        "authorized_official_last_name": "SMITH",
        "authorized_official_first_name": "DALESHA",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "757-553-6158",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "MAPC, QMHP"
    },
    "taxonomies": [
        {
            "code": "251C00000X",
            "taxonomy_group": "",
            "desc": "Day Training, Developmentally Disabled Services",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "320900000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "C.o.L Residential",
            "code": "5",
            "type": "Other Name"
        },
        {
            "organization_name": "C.o.L Residential",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Daniel Robert Cimo, LCSW
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• Caroline Esther Ciotti, D.M.D.
• Circular Recovery Treatment, L.L.C
• Paige Cisar
• Litzie Amairany Cisneros
• Brittany Danielle Cissell, COTA/L
• City of Virginia Beach

• Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in Virginia Beach, VA
• Providers in Virginia Beach, VA by specialty
• Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 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.