Circle of Life Healthcare LLC

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

Legal business name

CIRCLE OF LIFE HEALTHCARE LLC

Practice address

7954 Laura St NW
Massillon, OH 44646-9037

Phone

(330) 495-2355

NPI assigned

Apr 10, 2020

Organization subpart

No

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

Authorized official

Name

Heather Ann Gotschall, NPNPI 1871996496

Title

Owner

Phone

(330) 495-2355

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in OH

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Heather Ann Gotschall, APRN-CNP

  • Family Nurse Practitioner
  • Massillon, OH
  • NPI 1871996496
  Medicare reassignment NPD Authorized official
• Anna Margarita Lengyel, MD

  • Internal Medicine Physician
  • Canton, OH
  • NPI 1386636728
  Medicare reassignment NPD

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

{
    "created_epoch": "1586476800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1596585600000",
    "number": "1346869245",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7954 LAURA ST NW",
            "city": "MASSILLON",
            "state": "OH",
            "postal_code": "446469037",
            "telephone_number": "330-495-2355"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7954 LAURA ST NW",
            "city": "MASSILLON",
            "state": "OH",
            "postal_code": "446469037",
            "telephone_number": "330-495-2355"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CIRCLE OF LIFE HEALTHCARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-04-10",
        "last_updated": "2020-08-05",
        "certification_date": "2020-08-05",
        "status": "A",
        "authorized_official_last_name": "GOTSCHALL",
        "authorized_official_first_name": "HEATHER",
        "authorized_official_middle_name": "ANN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "330-495-2355",
        "authorized_official_credential": "NP"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• CHV Home Medical Equipment Company, LLC
• CHV Home Medical Equipment Company, LLC
• CHV Home Medical Equipment Company, LLC
• Dominic Ciccarelli
• Angela Cipriano, QMHS
• City of Massillon
• CJ Non Medical Home Health Assisting Agency
• Clarke Family Medicine, LLC
• Angela Toc Clarke, OTR
• Ashley Williams Clarke, DO

• Nurse Practitioner in Massillon, OH
• Providers in Massillon, OH by specialty
• Nurse Practitioner in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 5, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.