Provider Demographics
NPI:1558604470
Name:CIRCLE OF TRUST HOME HEALTH INC
Entity Type:Organization
Organization Name:CIRCLE OF TRUST HOME HEALTH INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:VICE PRESIDENT OF OPERATIONS
Authorized Official - Prefix:MRS
Authorized Official - First Name:CHRISTIE
Authorized Official - Middle Name:L
Authorized Official - Last Name:CASTOR
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:708-261-0060
Mailing Address - Street 1:2521 RIDGE RD
Mailing Address - Street 2:SUITE 4
Mailing Address - City:LANSING
Mailing Address - State:IL
Mailing Address - Zip Code:60438-2161
Mailing Address - Country:US
Mailing Address - Phone:708-261-0060
Mailing Address - Fax:708-261-0062
Practice Address - Street 1:2521 RIDGE RD
Practice Address - Street 2:SUITE 4
Practice Address - City:LANSING
Practice Address - State:IL
Practice Address - Zip Code:60438-2161
Practice Address - Country:US
Practice Address - Phone:708-261-0060
Practice Address - Fax:708-261-0062
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-03-28
Last Update Date:2013-03-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL65565978251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health