Organization Active NPI

Circle of Life Hospice, Inc

  • Community Based Hospice Care Agency
  • Reno, NV
National Provider Identifier
1922067693
Registry record updated Aug 5, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Based Hospice Care AgencyTaxonomy code 251G00000X
License
2911HPC-6 Issued in NV
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.

Practitioners 2

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

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 HospiceCCN 291509
Ownership
For-Profit
Certified
Dec 8, 2000
Medicare certification status
ActiveFrom the Provider of Services file

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NV2 enrollments

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
CorporationProprietary
Incorporated
Oct 27, 1999 in NV
Enrollment address
1575 Delucchi LN
Ste 214
Reno, NV 89502-8521

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
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 files

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

NameRoleSinceShare
Deborah L Girard Individual 5% Or Greater Direct Ownership InterestAdvisor Sep 1, 2022 6%
Olivia P Baugh Individual Contracted Managing EmployeeMedical Director Nov 1, 2020
Michelle L Cagle Individual 5% Or Greater Direct Ownership InterestAdministrator Sep 1, 2022 90%
Corporate DirectorPresident Dec 21, 2017 100%
W-2 Managing EmployeeAdministrator Dec 21, 2017 100%

National Provider Directory

National Provider Directory

Locations

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)CodeLicenseStatePrimary
Community Based Hospice Care Agency 251G00000X 2911HPC-6 NV Primary

Addresses

NPPES NPI Registry

Primary 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
IdentifierTypeStateIssuer
006416111MedicaidNV
006516111MedicaidNV

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

Verify at the official NPI Registry.