Active NPI
Circles of Care, Inc.
- Case Management Agency
- West Melbourne, FL
National Provider Identifier
1902816416
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Case Management Agency
- Legal business name
- CIRCLES OF CARE, INC.
- Practice address
- 2000 Commerce Dr
West Melbourne, FL 32904-2335 - Phone
- (321) 676-6650
- NPI assigned
- Aug 8, 2006
- Last updated
- Feb 28, 2022
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Fallon Derosa
- Title
- HR Manager
- Phone
- (321) 722-5273
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Case Management Agency | 251B00000X | Primary |
Addresses
Primary practice location
2000 Commerce Dr
West Melbourne, FL 32904-2335
Mailing address
400 E Sheridan Rd
Melbourne, FL 32901-3184
Phone (321) 722-5200
Other practice location 1
400 E Sheridan Rd
Melbourne, FL 32901-3122
Phone (321) 722-5200
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 060291403 | Medicaid | FL |
National Provider Directory
National Provider Directory- Tax ID family
- Circles of Care Inc
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NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1154995200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1646006400000",
"number": "1902816416",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "400 E SHERIDAN RD",
"city": "MELBOURNE",
"state": "FL",
"postal_code": "329013184",
"telephone_number": "321-722-5200"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2000 COMMERCE DR",
"city": "WEST MELBOURNE",
"state": "FL",
"postal_code": "329042335",
"telephone_number": "321-676-6650"
}
],
"practiceLocations": [
{
"address_1": "400 E Sheridan Rd",
"address_purpose": "LOCATION",
"city": "Melbourne",
"state": "FL",
"postal_code": "329013122",
"country_code": "US",
"telephone_number": "321-722-5200",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"organization_name": "CIRCLES OF CARE, INC.",
"organizational_subpart": "NO",
"enumeration_date": "2006-08-08",
"last_updated": "2022-02-28",
"certification_date": "2022-02-28",
"status": "A",
"authorized_official_last_name": "DEROSA",
"authorized_official_first_name": "FALLON",
"authorized_official_title_or_position": "HR MANAGER",
"authorized_official_telephone_number": "321-722-5273"
},
"taxonomies": [
{
"code": "251B00000X",
"taxonomy_group": "",
"desc": "Case Management",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "060291403",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in West Melbourne, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 28, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.