NPIMap

Organization Active NPI

Circle of Life Services LLC

  • Nursing Care Agency
  • North Dinwiddie, VA
National Provider Identifier
1841024866
Registry record updated Aug 30, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nursing Care AgencyTaxonomy code 251J00000X
Legal business name
CIRCLE OF LIFE SERVICES LLC
Practice address
25415 Cox Rd
North Dinwiddie, VA 23803-6509
Phone
(804) 721-1998
NPI assigned
Aug 30, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 30, 2024

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

Authorized official

Name
Clorisse Pettaway
Title
Director
Phone
(804) 721-1998

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nursing Care Agency 251J00000X Primary

Addresses

Primary practice location

25415 Cox Rd
North Dinwiddie, VA 23803-6509

Mailing address

25415 Cox Rd
North Dinwiddie, VA 23803-6509
Phone (804) 721-1998

National Provider Directory

National Provider Directory
Tax ID family
Circle of Life Services LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1724976000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1724976000000",
    "number": "1841024866",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25415 COX RD",
            "city": "NORTH DINWIDDIE",
            "state": "VA",
            "postal_code": "238036509",
            "telephone_number": "804-721-1998"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25415 COX RD",
            "city": "NORTH DINWIDDIE",
            "state": "VA",
            "postal_code": "238036509",
            "telephone_number": "804-721-1998"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CIRCLE OF LIFE SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-08-30",
        "last_updated": "2024-08-30",
        "certification_date": "2024-08-30",
        "status": "A",
        "authorized_official_last_name": "PETTAWAY",
        "authorized_official_first_name": "CLORISSE",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "804-721-1998"
    },
    "taxonomies": [
        {
            "code": "251J00000X",
            "taxonomy_group": "",
            "desc": "Nursing Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in North Dinwiddie, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 30, 2024; 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.