Organization Active NPI

Circle of Supports Inc.

  • Case Manager/Care Coordinator
  • Gaithersburg, MD
National Provider Identifier
1861003444
Registry record updated Aug 16, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Case Manager/Care CoordinatorTaxonomy code 171M00000X
Legal business name
CIRCLE OF SUPPORTS INC.
Practice address
718 Clopper Rd Apt 34
Gaithersburg, MD 20878-1333
Phone
(240) 630-0650
NPI assigned
Aug 16, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 16, 2020

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

Authorized official

Name
Akili Banjo-Yeobah
Title
Director
Phone
(240) 630-0650

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Case Manager/Care CoordinatorGroup: 193200000X MULTI-SPECIALTY GROUP 171M00000X Primary

Addresses

Primary practice location

718 Clopper Rd Apt 34
Gaithersburg, MD 20878-1333

Mailing address

718 Clopper Rd Apt 34
Gaithersburg, MD 20878-1333
Phone (240) 630-0650

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL GAITHERSBURG Direct

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": "1597536000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1597536000000",
    "number": "1861003444",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "718 CLOPPER RD APT 34",
            "city": "GAITHERSBURG",
            "state": "MD",
            "postal_code": "208781333",
            "telephone_number": "240-630-0650"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "718 CLOPPER RD APT 34",
            "city": "GAITHERSBURG",
            "state": "MD",
            "postal_code": "208781333",
            "telephone_number": "240-630-0650"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CIRCLE OF SUPPORTS INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-08-16",
        "last_updated": "2020-08-16",
        "certification_date": "2020-08-16",
        "status": "A",
        "authorized_official_last_name": "BANJO-YEOBAH",
        "authorized_official_first_name": "AKILI",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "240-630-0650"
    },
    "taxonomies": [
        {
            "code": "171M00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Case Manager/Care Coordinator",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "GAITHERSBURG",
            "affiliation": "N",
            "endpointDescription": "gaithersburg",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "718 Clopper Rd Apt 34",
            "city": "Gaithersburg",
            "state": "MD",
            "country_code": "US",
            "postal_code": "208781333",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Gaithersburg, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 16, 2020; 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.