Active NPI
Circle of Life Hospice, Inc
- Community Based Hospice Care Agency
- Reno, NV
On this page
- Key facts
- Authorized official
- Owners & managing parties with NPI records1
- Practitioners2
- Affiliated clinicians1
- Care Compare: Hospice
- Medicare participation
- All disclosed owners & managing parties3
- National Provider Directory
- Specialties & licenses1
- Addresses
- Other identifiers2
- NPI Registry JSON
- Other providers in Reno, NV
- Sources for this page
Key facts
NPPES NPI Registry- Primary specialty
- Community Based Hospice Care Agency
- License
- 2911HPC-6
- Legal business name
- CIRCLE OF LIFE HOSPICE, INC
- Practice address
- 1575 Delucchi Lane
Suite 214
Reno, NV 89502-6578 - Phone
- (775) 827-2298
- Fax
- (775) 824-3860
- NPI assigned
- Mar 21, 2006
- Organization subpart
- No
Authorized official
NPPES NPI Registry- Name
- Deborah Louise Girard, RN
- Title
- Co Founder/Administrator
- Phone
- (775) 827-2298
Owners & managing parties with NPI records 1
Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.
-
- Internal Medicine Physician
- Reno, NV
- NPI 1457478604
Contracted Managing Employee
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Family Nurse Practitioner
- Reno, NV
- NPI 1568326767
Affiliated clinicians 1
Clinicians who list this facility as an affiliation in Medicare Care Compare.
Care Compare: Hospice
Medicare Care Compare- Listed as
- Circle of Life Hospice
- Ownership
- For-Profit
- Certified
- Dec 8, 2000
- Medicare certification status
- Active
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NV
Hospice certification: CCN 291509
- Legal name
- CIRCLE OF LIFE HOSPICE, INC
- Doing business as
- CIRCLE OF LIFE COMMUNITY HOSPICE
- Certification status
- Active
- Provider type (POS)
- Hospice
- Participating since
- Dec 8, 2000
- Last certification
- Mar 3, 2021
- Ownership / control type
- Proprietary - Corporation
- Organization structure
- Corporation
- Incorporated
- Oct 27, 1999 in NV
- Enrollment address
- 1575 Delucchi LN
Ste 214
Reno, NV 89502-8521
Enrollment records 2
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20100826000505 | NV | Part A Provider - Hospice | 9133243264 | Practice locations: Reno, NV |
| O20221007000576 | NV | Part B Supplier - Clinic/Group Practice | 9133243264 |
Receives reassigned benefits from 1 practitioner Practice locations: Reno, NV |
All disclosed owners & managing parties 3
Medicare enrollment filesAs disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.
| Name | Role | Since | Share |
|---|---|---|---|
| Deborah L Girard | 5% Or Greater Direct Ownership Interest | Sep 1, 2022 | 6% |
| Olivia P Baugh | Contracted Managing Employee | Nov 1, 2020 | |
| Michelle L Cagle | 5% Or Greater Direct Ownership Interest | Sep 1, 2022 | 90% |
| Corporate Director | Dec 21, 2017 | 100% | |
| W-2 Managing Employee | Dec 21, 2017 | 100% |
National Provider Directory
National Provider DirectoryLocations
1575 Delucchi Ln
Ste 214
Reno, NV 89502
Phone (775) 827-2298
1575 Delucchi Ln
Reno, NV 89502
Phone (775) 303-7229
Specialties & licenses 1
NPPES NPI Registry| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community Based Hospice Care Agency | 251G00000X | 2911HPC-6 | NV | Primary |
Addresses
NPPES NPI RegistryPrimary practice location
1575 Delucchi Lane
Suite 214
Reno, NV 89502-6578
Mailing address
1575 Delucchi Lane
Suite 214
Reno, NV 89502-6578
Phone (775) 827-2298
Other identifiers 2
NPPES NPI Registry| Identifier | Type | State | Issuer |
|---|---|---|---|
| 006416111 | Medicaid | NV | |
| 006516111 | Medicaid | NV |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Aug 5, 2010.
{
"created_epoch": "1142899200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1280966400000",
"number": "1922067693",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1575 DELUCCHI LANE",
"address_2": "SUITE 214",
"city": "RENO",
"state": "NV",
"postal_code": "895026578",
"telephone_number": "775-827-2298",
"fax_number": "775-824-3860"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1575 DELUCCHI LANE",
"address_2": "SUITE 214",
"city": "RENO",
"state": "NV",
"postal_code": "895026578",
"telephone_number": "775-827-2298",
"fax_number": "775-824-3860"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CIRCLE OF LIFE HOSPICE, INC",
"organizational_subpart": "NO",
"enumeration_date": "2006-03-21",
"last_updated": "2010-08-05",
"status": "A",
"authorized_official_last_name": "GIRARD",
"authorized_official_first_name": "DEBORAH",
"authorized_official_middle_name": "LOUISE",
"authorized_official_title_or_position": "CO FOUNDER/ADMINISTRATOR",
"authorized_official_telephone_number": "775-827-2298",
"authorized_official_credential": "RN"
},
"taxonomies": [
{
"code": "251G00000X",
"taxonomy_group": "",
"desc": "Hospice Care, Community Based",
"state": "NV",
"license": "2911HPC-6",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "006416111",
"state": "NV"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "006516111",
"state": "NV"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Reno, NV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 5, 2010; 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.