Circle of Life

Key facts

NPI

1609680396

Entity type

Organization (NPI type 2)

Primary specialty

Hospice and Palliative Medicine (Internal Medicine) Physician 207RH0002X

Legal business name

CIRCLE OF LIFE

Practice address

2886 Highway 412 Ste D
Colcord, OK 74338-1487

Phone

(479) 750-6632

NPI assigned

Feb 4, 2025

Organization subpart

No

Authorized official

Name

Catherine Grubbs

Title

Ceo

Phone

(479) 750-6632

Owners & managing parties with NPI records 4

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

• Christen Jade Coats, OD, FAAO Optometrist · Fayetteville, AR · NPI 1568812345
  CMS ownership CORPORATE DIRECTOR
• Andrea Leigh Read, D.O. Internal Medicine Physician · Jonesboro, AR · NPI 1174799258
  CMS ownership CORPORATE OFFICER · W-2 MANAGING EMPLOYEE
• Sheldon Riklon, M.D. Family Medicine Physician · Springdale, AR · NPI 1053556332
  CMS ownership CORPORATE DIRECTOR
• Angela Renee Stewart, APRN Acute Care Nurse Practitioner · Fayetteville, AR · NPI 1588675037
  CMS ownership CORPORATE DIRECTOR

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

• Circle of Life Community Based Hospice Care Agency · Springdale, AR · NPI 1386755460
  Same PAC ID 9335102896

Laboratory certificates & supplier records

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

CLIA laboratory certificates

Medicare participation

Medicare fee-for-service enrollment

Enrolled in OK

Hospice certification: CCN 371751

Legal name

CIRCLE OF LIFE

Doing business as

CIRCLE OF LIFE HOME-BASED CARE

Certification status

Active

Provider type (POS)

Hospice

Participating since

Jan 21, 2026

Last certification

Feb 6, 2025

Organization structure

Corporation · Non-profit

Enrollment address

2886 Hwy 412
St. D
Colcord, OK 74338-1487

All disclosed owners & managing parties 22

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

Medicare enrollment records

National Provider Directory

Locations

Specialties & licenses

Addresses

Other names

• Circle of Life Home-Based Care Doing business as

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Feb 4, 2025.

{
    "created_epoch": "1738627200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1738627200000",
    "number": "1609680396",
    "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": "479-750-6632"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2886 HIGHWAY 412 STE D",
            "city": "COLCORD",
            "state": "OK",
            "postal_code": "743381487",
            "telephone_number": "479-750-6632"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CIRCLE OF LIFE",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-02-04",
        "last_updated": "2025-02-04",
        "certification_date": "2025-02-04",
        "status": "A",
        "authorized_official_last_name": "GRUBBS",
        "authorized_official_first_name": "CATHERINE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "479-750-6632"
    },
    "taxonomies": [
        {
            "code": "207RH0002X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Hospice and Palliative Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Circle of Life Home-Based Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Colcord, OK

• A Voice for Children
• Meghan Lauren Barnett
• Deborah Battiest
• Colcord Public Schools
• Kara Eason
• Candice Harper, RN
• Deborah J Harris, L.P.C.
• Thimotee Ilboudo

All providers in Colcord, OK · Hospice and Palliative Medicine (Internal Medicine) Physician in Oklahoma