Circle of Life House

Primary specialty

Intellectual and/or Developmental Disabilities Community Based Residential Treatment FacilityTaxonomy code 320900000X

Legal business name

CIRCLE OF LIFE HOUSE

Practice address

801 W Bear Creek Rd
Glenn Heights, TX 75154-8701

Phone

(214) 275-9645

NPI assigned

Dec 27, 2008

Organization subpart

No

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

Authorized official

Name

Mr. Victor Pereira

Title

Director

Phone

(972) 274-0012

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1230336000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1230336000000",
    "number": "1760628549",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "801 W BEAR CREEK RD",
            "city": "GLENN HEIGHTS",
            "state": "TX",
            "postal_code": "751548701",
            "telephone_number": "214-275-9645"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "801 W BEAR CREEK RD",
            "city": "GLENN HEIGHTS",
            "state": "TX",
            "postal_code": "751548701",
            "telephone_number": "214-275-9645"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CIRCLE OF LIFE HOUSE",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-12-27",
        "last_updated": "2008-12-27",
        "status": "A",
        "authorized_official_last_name": "PEREIRA",
        "authorized_official_first_name": "VICTOR",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "972-274-0012",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "320900000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": "TX",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in Glenn Heights, TX
• Providers in Glenn Heights, TX by specialty
• Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 27, 2008; 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.