Community Circles, Inc.

Primary specialty

In Home Supportive Care AgencyTaxonomy code 253Z00000X

License

680178198 Issued in FL

Legal business name

COMMUNITY CIRCLES, INC.

Practice address

240 9TH Ave N
St Petersburg, FL 33701-1706

Phone

(727) 742-7250

Fax

(727) 551-0877

NPI assigned

Nov 22, 2010

Last updated

Nov 22, 2010By 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

Mr. Boyd Dennis Shelt Jr.

Title

President

Phone

(727) 742-7250

Specialties & licenses 2

Addresses

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

{
    "created_epoch": "1290384000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1290384000000",
    "number": "1447552625",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "240 9TH AVE N",
            "city": "ST PETERSBURG",
            "state": "FL",
            "postal_code": "337011706",
            "telephone_number": "727-742-7250",
            "fax_number": "727-551-0877"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "240 9TH AVE N",
            "city": "ST PETERSBURG",
            "state": "FL",
            "postal_code": "337011706",
            "telephone_number": "727-742-7250",
            "fax_number": "727-551-0877"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMMUNITY CIRCLES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-11-22",
        "last_updated": "2010-11-22",
        "status": "A",
        "authorized_official_last_name": "SHELT",
        "authorized_official_first_name": "BOYD",
        "authorized_official_middle_name": "DENNIS",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "727-742-7250",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "Jr."
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": "FL",
            "license": "680178198",
            "primary": true
        },
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": "FL",
            "license": "680178196",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• In Home Supportive Care Agency in St Petersburg, FL
• Providers in St Petersburg, FL by specialty
• In Home Supportive Care Agency in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 22, 2010; 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.