Active NPI
Circle of Life
- Developmentally Disabled Services Day Training Agency
- Corona, CA
National Provider Identifier
1952722993
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Developmentally Disabled Services Day Training Agency
- Legal business name
- CIRCLE OF LIFE
- Practice address
- 1503 S Main St
Corona, CA 92882-4957 - Phone
- (951) 268-4097
- Fax
- (951) 750-6255
- NPI assigned
- Dec 18, 2013
- 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
- Tommie Earl Wright Jr.
- Title
- Owner
- Phone
- (951) 268-4097
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Developmentally Disabled Services Day Training Agency | 251C00000X | Primary |
Addresses
Primary practice location
1503 S Main St
Corona, CA 92882-4957
Mailing address
PO Box 998
Corona, CA 92878-0998
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1387324800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1387324800000",
"number": "1952722993",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 998",
"city": "CORONA",
"state": "CA",
"postal_code": "928780998"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1503 S MAIN ST",
"city": "CORONA",
"state": "CA",
"postal_code": "928824957",
"telephone_number": "951-268-4097",
"fax_number": "951-750-6255"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CIRCLE OF LIFE",
"organizational_subpart": "NO",
"enumeration_date": "2013-12-18",
"last_updated": "2013-12-18",
"status": "A",
"authorized_official_last_name": "WRIGHT",
"authorized_official_first_name": "TOMMIE",
"authorized_official_middle_name": "EARL",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "951-268-4097",
"authorized_official_name_suffix": "Jr."
},
"taxonomies": [
{
"code": "251C00000X",
"taxonomy_group": "",
"desc": "Day Training, Developmentally Disabled Services",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Corona, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 18, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.