Organization Active NPI

Family Circles Healthcare LLC

Doing business as Family Circles Healthcare

  • Primary Care Clinic/Center
  • Hartland, ME
National Provider Identifier
1730632977
Registry record updated Jul 23, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
License
CNP81850 Issued in ME
Legal business name
FAMILY CIRCLES HEALTHCARE LLC
Doing business as
Family Circles Healthcare
Practice address
10 Great Moose Dr
Hartland, ME 04943-3022
Phone
(207) 735-7807
Fax
(207) 512-1133
NPI assigned
Jul 23, 2016
Last updated
Jul 23, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 23, 2016

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

Authorized official

Name
Mrs. Jennifer Elizabeth Bagley, FNP-C
Title
Owner/Operator
Phone
(207) 735-7807

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Clinic/Center 261QP2300X CNP81850 ME Primary

Addresses

Primary practice location

10 Great Moose Dr
Hartland, ME 04943-3022

Mailing address

10 Great Moose Dr
Hartland, ME 04943-3022
Phone (207) 735-7807

Other names 1

  • Family Circles Healthcare Doing business as

National Provider Directory

National Provider Directory

Locations

10 Great Moose Dr
Hartland, ME 04943
Phone (207) 270-4060

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/14039/brand/1/csg/1/fhir/r4

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1469232000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1469232000000",
    "number": "1730632977",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10 GREAT MOOSE DR",
            "city": "HARTLAND",
            "state": "ME",
            "postal_code": "049433022",
            "telephone_number": "207-735-7807",
            "fax_number": "207-512-1133"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10 GREAT MOOSE DR",
            "city": "HARTLAND",
            "state": "ME",
            "postal_code": "049433022",
            "telephone_number": "207-735-7807",
            "fax_number": "207-512-1133"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAMILY CIRCLES HEALTHCARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-07-23",
        "last_updated": "2016-07-23",
        "status": "A",
        "authorized_official_last_name": "BAGLEY",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_middle_name": "ELIZABETH",
        "authorized_official_title_or_position": "OWNER/OPERATOR",
        "authorized_official_telephone_number": "207-735-7807",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "FNP-C"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "ME",
            "license": "CNP81850",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Family Circles Healthcare",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Hartland, ME

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 23, 2016; 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.