Provider Demographics
NPI:1922730175
Name:CIRCLE OF CARE HOSPICE LLC
Entity Type:Organization
Organization Name:CIRCLE OF CARE HOSPICE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MEMBER
Authorized Official - Prefix:
Authorized Official - First Name:ALMA
Authorized Official - Middle Name:
Authorized Official - Last Name:INIT
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:480-226-0300
Mailing Address - Street 1:7330 N 16TH ST STE A110
Mailing Address - Street 2:
Mailing Address - City:PHOENIX
Mailing Address - State:AZ
Mailing Address - Zip Code:85020-8216
Mailing Address - Country:US
Mailing Address - Phone:323-821-2500
Mailing Address - Fax:480-546-4297
Practice Address - Street 1:7330 N 16TH ST STE A110
Practice Address - Street 2:
Practice Address - City:PHOENIX
Practice Address - State:AZ
Practice Address - Zip Code:85020-8216
Practice Address - Country:US
Practice Address - Phone:323-821-2500
Practice Address - Fax:480-546-4297
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-06-27
Last Update Date:2022-07-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251G00000XAgenciesHospice Care, Community Based