NPIMap

Organization Active NPI

Circle of Support LLC

  • Registered Nurse
  • Westland, MI
National Provider Identifier
1790242006
Registry record updated Feb 22, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered NurseTaxonomy code 163W00000X
Legal business name
CIRCLE OF SUPPORT LLC
Practice address
29858 Hanover Blvd
Westland, MI 48186-5178
Phone
(404) 434-0070
Fax
(734) 331-2364
NPI assigned
Feb 22, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 22, 2019

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

Authorized official

Name
Kena GeeNPI 1588116552
Title
Administrator
Phone
(404) 434-0070

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Registered NurseGroup: 193200000X MULTI-SPECIALTY GROUP 163W00000X Primary
Home Health AideGroup: 193200000X MULTI-SPECIALTY GROUP 374U00000X

Addresses

Primary practice location

29858 Hanover Blvd
Westland, MI 48186-5178

Mailing address

29858 Hanover Blvd
Westland, MI 48186-5178
Phone (404) 434-0070

National Provider Directory

National Provider Directory

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": "1550793600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1550793600000",
    "number": "1790242006",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "29858 HANOVER BLVD",
            "city": "WESTLAND",
            "state": "MI",
            "postal_code": "481865178",
            "telephone_number": "404-434-0070",
            "fax_number": "734-331-2364"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "29858 HANOVER BLVD",
            "city": "WESTLAND",
            "state": "MI",
            "postal_code": "481865178",
            "telephone_number": "404-434-0070",
            "fax_number": "734-331-2364"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CIRCLE OF SUPPORT LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-02-22",
        "last_updated": "2019-02-22",
        "status": "A",
        "authorized_official_last_name": "GEE",
        "authorized_official_first_name": "KENA",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "404-434-0070"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Registered Nurse",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "374U00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Home Health Aide",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Westland, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 22, 2019; 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.