Organization Active NPI

Circle of Life Palliative Care LLC

  • Hospice and Palliative Medicine (Internal Medicine) Physician
  • Springdale, AR
National Provider Identifier
1851179485
Registry record updated Apr 1, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hospice and Palliative Medicine (Internal Medicine) PhysicianTaxonomy code 207RH0002X
Legal business name
CIRCLE OF LIFE PALLIATIVE CARE LLC
Practice address
901 Jones Rd
Springdale, AR 72762-0875
Phone
(479) 750-6632
NPI assigned
Sep 15, 2023
Last updated
Apr 1, 2024By the provider in NPPES
Organization subpart
Yes
Parent organization
CIRCLE OF LIFEAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Apr 1, 2024

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

Authorized official

Name
Catherine Grubbs
Title
Ceo
Phone
(479) 750-6632

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Hospice and Palliative Medicine (Internal Medicine) PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207RH0002X Primary

Addresses

Primary practice location

901 Jones Rd
Springdale, AR 72762-0875

Mailing address

901 Jones Rd
Springdale, AR 72762-0875
Phone (479) 750-6632

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AR

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20240422000698 AR Part B Supplier - Clinic/Group Practice 9638518830 Receives reassigned benefits from 4 practitioners
Practice locations: Rogers, AR

National Provider Directory

National Provider Directory
Part of
Circle of Life

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1694736000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1711929600000",
    "number": "1851179485",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "901 JONES RD",
            "city": "SPRINGDALE",
            "state": "AR",
            "postal_code": "727620875",
            "telephone_number": "479-750-6632"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "901 JONES RD",
            "city": "SPRINGDALE",
            "state": "AR",
            "postal_code": "727620875",
            "telephone_number": "479-750-6632"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CIRCLE OF LIFE PALLIATIVE CARE LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "CIRCLE OF LIFE",
        "enumeration_date": "2023-09-15",
        "last_updated": "2024-04-01",
        "certification_date": "2024-04-01",
        "status": "A",
        "authorized_official_last_name": "GRUBBS",
        "authorized_official_first_name": "CATHERINE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "479-750-6632"
    },
    "taxonomies": [
        {
            "code": "207RH0002X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Hospice and Palliative Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Springdale, AR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 1, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.