Active NPI
Circle of Love , Inc
- Adult Day Care Clinic/Center
- Chamblee, GA
National Provider Identifier
1780003020
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Day Care Clinic/Center
- License
- 2014 NONPS-0077
- Legal business name
- CIRCLE OF LOVE , INC
- Practice address
- 5522 New Peachtree Rd Ste 120-129
Chamblee, GA 30341-2543 - Phone
- (770) 454-7979
- Fax
- (770) 217-4086
- NPI assigned
- Apr 15, 2014
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Wooiyi Yin
- Title
- Director
- Phone
- (770) 612-1388
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Adult Day Care Clinic/Center | 261QA0600X | 2014 NONPS-0077 | GA | Primary |
Addresses
Primary practice location
5522 New Peachtree Rd Ste 120-129
Chamblee, GA 30341-2543
Mailing address
5522 New Peachtree Rd
Suite 129
Chamblee, GA 30341-2543
Phone (770) 454-7979
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 189317268A | Medicaid | GA | |
| 844538317A | Medicaid | GA | |
| 844538317A | Other | GA | MEDICARE PROVIDER ID |
National Provider Directory
National Provider Directory- Tax ID family
- Circle of Love Adult Day Center
Other organizations with this tax ID 2
Organizations that report the same tax identification number in the National Provider Directory.
-
- Community/Behavioral Health Agency
- Suwanee, GA
- NPI 1154045581
-
- Adult Day Care Clinic/Center
- Peachtree Corners, GA
- NPI 1053895003
Locations
5522 New Peachtree Rd
Ste 120129
Chamblee, GA 30341
Phone (770) 454-7979
5522 New Peachtree Rd
Ste 129
Chamblee, GA 30341
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Rehabilitation Practitioner
- Augusta, GA
- NPI 1942386669
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1397520000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1627948800000",
"number": "1780003020",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5522 NEW PEACHTREE RD",
"address_2": "SUITE 129",
"city": "CHAMBLEE",
"state": "GA",
"postal_code": "303412543",
"telephone_number": "770-454-7979",
"fax_number": "770-217-4086"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5522 NEW PEACHTREE RD STE 120-129",
"city": "CHAMBLEE",
"state": "GA",
"postal_code": "303412543",
"telephone_number": "770-454-7979",
"fax_number": "770-217-4086"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CIRCLE OF LOVE , INC",
"organizational_subpart": "NO",
"enumeration_date": "2014-04-15",
"last_updated": "2021-08-03",
"certification_date": "2021-07-09",
"status": "A",
"authorized_official_last_name": "YIN",
"authorized_official_first_name": "WOOIYI",
"authorized_official_title_or_position": "DIRECTOR",
"authorized_official_telephone_number": "770-612-1388"
},
"taxonomies": [
{
"code": "261QA0600X",
"taxonomy_group": "",
"desc": "Clinic/Center, Adult Day Care",
"state": "GA",
"license": "2014 NONPS-0077",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "189317268A",
"state": "GA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "844538317A",
"state": "GA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE PROVIDER ID",
"identifier": "844538317A",
"state": "GA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Chamblee, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 3, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.