Circle of Angels Residential, LLC

Primary specialty

In Home Supportive Care AgencyTaxonomy code 253Z00000X

Legal business name

CIRCLE OF ANGELS RESIDENTIAL, LLC

Practice address

146 S Miller Rd
Fairlawn, OH 44333-4110

Phone

(330) 431-1329

NPI assigned

Dec 4, 2014

Organization subpart

No

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

Authorized official

Name

Lacrista Waterman

Title

Owner

Phone

(330) 431-1329

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1417651200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1417651200000",
    "number": "1952708067",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "146 S MILLER RD",
            "city": "FAIRLAWN",
            "state": "OH",
            "postal_code": "443334110",
            "telephone_number": "330-431-1329"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "146 S MILLER RD",
            "city": "FAIRLAWN",
            "state": "OH",
            "postal_code": "443334110",
            "telephone_number": "330-431-1329"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CIRCLE OF ANGELS RESIDENTIAL, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-12-04",
        "last_updated": "2014-12-04",
        "status": "A",
        "authorized_official_last_name": "WATERMAN",
        "authorized_official_first_name": "LACRISTA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "330-431-1329"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0086006",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Susan Marie Chiavaroli, RN
• Rachel Chokan, SLP
• Mira Chun, PHARMD
• Haley Cifani, M.A. CCC-SLP
• Claudia Ann Cihlar, PHD, APRN BC
• Circulatory Center of Akron, Inc.
• City of Fairlawn
• Ashlee Clark
• Danielle Sheniece Clark, LPCC-S
• Jessica Clark

• In Home Supportive Care Agency in Fairlawn, OH
• Providers in Fairlawn, OH by specialty
• In Home Supportive Care Agency in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 4, 2014; 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.