NPIMap

Organization Active NPI

Circle of Life

  • Psychiatric Hospital
  • Oak Park, MI
National Provider Identifier
1629108766
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric HospitalTaxonomy code 283Q00000X
License
4704125356 Issued in MI
Legal business name
CIRCLE OF LIFE
Practice address
24080 Seneca St
Oak Park, MI 48237-3725
Phone
(248) 545-7086
NPI assigned
Mar 7, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Ms. Dolores Mattox, R.N.
Title
Registered Nurse
Phone
(248) 545-7086

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric Hospital 283Q00000X 4704125356 MI Primary

Addresses

Primary practice location

24080 Seneca St
Oak Park, MI 48237-3725

Mailing address

24080 Seneca Street
Oak Park, MI 48237
Phone (248) 545-7086

National Provider Directory

National Provider Directory
Tax ID family
Circle of Life3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1173225600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1629108766",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24080 SENECA STREET",
            "city": "OAK PARK",
            "state": "MI",
            "postal_code": "48237",
            "telephone_number": "248-545-7086"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "24080 SENECA ST",
            "city": "OAK PARK",
            "state": "MI",
            "postal_code": "482373725",
            "telephone_number": "248-545-7086"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CIRCLE OF LIFE",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-07",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MATTOX",
        "authorized_official_first_name": "DOLORES",
        "authorized_official_title_or_position": "REGISTERED NURSE",
        "authorized_official_telephone_number": "248-545-7086",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "R.N."
    },
    "taxonomies": [
        {
            "code": "283Q00000X",
            "taxonomy_group": "",
            "desc": "Psychiatric Hospital",
            "state": "MI",
            "license": "4704125356",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oak Park, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.