Circle of Life Personal Care LLC

Primary specialty

In Home Supportive Care AgencyTaxonomy code 253Z00000X

Legal business name

CIRCLE OF LIFE PERSONAL CARE LLC

Practice address

901 Jones Rd
Springdale, AR 72762-0875

Phone

(479) 872-3394

Fax

(855) 609-1023

NPI assigned

Oct 25, 2023

Last updated

Oct 25, 2023By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Susan Wood, RN

Title

Personal Care Manager

Phone

(479) 872-3394

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1698192000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1698192000000",
    "number": "1316719016",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "901 JONES RD",
            "city": "SPRINGDALE",
            "state": "AR",
            "postal_code": "727620875",
            "telephone_number": "479-872-3394",
            "fax_number": "855-609-1023"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "901 JONES RD",
            "city": "SPRINGDALE",
            "state": "AR",
            "postal_code": "727620875",
            "telephone_number": "479-872-3394",
            "fax_number": "855-609-1023"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CIRCLE OF LIFE PERSONAL CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-10-25",
        "last_updated": "2023-10-25",
        "certification_date": "2023-10-25",
        "status": "A",
        "authorized_official_last_name": "WOOD",
        "authorized_official_first_name": "SUSAN",
        "authorized_official_title_or_position": "PERSONAL CARE MANAGER",
        "authorized_official_telephone_number": "479-872-3394",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Timothy J Churchill
• Vania Stefany Cienfuegs Aguilar
• Kathryn Cingolani, LPN
• Circle of Life (Circle of Life Hospice)
• Circle of Life Palliative Care LLC
• City of Springdale (Springdale Ambulance Division)
• City Pharmacy of Springdale Inc (City Pharmacy)
• Kortney D Clamucha, LAC
• Christopher Robin Clark, M.D.
• Eleasha Clark, COTA

• In Home Supportive Care Agency in Springdale, AR
• Providers in Springdale, AR by specialty
• In Home Supportive Care Agency in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 25, 2023; 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.