Organization Active NPI

Circle of Love , Inc

  • Adult Day Care Clinic/Center
  • Chamblee, GA
National Provider Identifier
1780003020
Registry record updated Aug 3, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Day Care Clinic/CenterTaxonomy code 261QA0600X
License
2014 NONPS-0077 Issued in GA
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

Updated by the provider on Aug 3, 2021

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
189317268AMedicaidGA
844538317AMedicaidGA
844538317AOtherGAMEDICARE PROVIDER ID

National Provider Directory

National Provider Directory
Tax ID family
Circle of Love Adult Day Center3 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.

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.

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.

Verify at the official NPI Registry.