Circle of Angels Hospice, Inc

Primary specialty

Community Based Hospice Care AgencyTaxonomy code 251G00000X

Legal business name

CIRCLE OF ANGELS HOSPICE, INC

Practice address

2817 Highway 212 SW
Conyers, GA 30094-3350

Phone

(770) 679-1899

Fax

(770) 648-6060

NPI assigned

Oct 11, 2011

Organization subpart

No

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

Authorized official

Name

Mrs. Michelle Dunbar, RN

Title

President

Phone

(770) 882-8401

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in GA

Enrollment records 1

Hospice certification: CCN 111783

Legal name

CIRCLE OF ANGELS HOSPICE, INC.

Certification status

Active

Provider type (POS)

Hospice

Participating since

Oct 13, 2016

Last certification

Jun 6, 2019

Ownership / control type

Proprietary - Corporation

Organization structure

CorporationProprietary

Incorporated

Sep 15, 2011 in GA

Enrollment address

2817 Highway 212 SW
Conyers, GA 30094-3350

Listed as

Circle of Angels Hospice IncCCN 111783

Ownership

For-Profit

Certified

Oct 13, 2016

Medicare certification status

ActiveFrom the Provider of Services file

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

All disclosed owners & managing parties 3

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

Owners & managing parties with NPI records 1

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

• Oluwole Akinrinola Akintayo, M.D

  • Hospitalist Physician
  • Atlanta, GA
  • NPI 1104264134

  Contracted Managing Employee

  CMS ownership

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Michelle Gay, RN

  • Home Health Registered Nurse
  • Hampton, GA
  • NPI 1235395039
  NPD

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

{
    "created_epoch": "1318291200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1508889600000",
    "number": "1902181886",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2817 HIGHWAY 212 SW",
            "city": "CONYERS",
            "state": "GA",
            "postal_code": "300943350",
            "telephone_number": "770-679-1899",
            "fax_number": "770-648-6060"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2817 HIGHWAY 212 SW",
            "city": "CONYERS",
            "state": "GA",
            "postal_code": "300943350",
            "telephone_number": "770-679-1899",
            "fax_number": "770-648-6060"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CIRCLE OF ANGELS HOSPICE, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-10-11",
        "last_updated": "2017-10-25",
        "status": "A",
        "authorized_official_last_name": "DUNBAR",
        "authorized_official_first_name": "MICHELLE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "770-882-8401",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "385H00000X",
            "taxonomy_group": "",
            "desc": "Respite Care",
            "state": "GA",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Inyoung Choi, DMD
• Choice Nursing Services,LLC
• Christ-Lee Hospice and Palliative Care
• Shannon Christian
• Ellica Moore Chu
• Allyson Clark, RN
• Rani Katrina Clark
• Sherry Clark, PTA
• Camille Clarke, LPN
• Janice A Clarke, MD

• Community Based Hospice Care Agency in Conyers, GA
• Providers in Conyers, GA by specialty
• Community Based Hospice Care Agency in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 25, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.