Provider Demographics
NPI:1033923693
Name:CIRCLE CITY HOME HEALTH CARE LLC
Entity type:Organization
Organization Name:CIRCLE CITY HOME HEALTH CARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/VICE PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:AMBER
Authorized Official - Middle Name:J
Authorized Official - Last Name:HUSSAIN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:248-568-0085
Mailing Address - Street 1:145 W ELM ST STE 170B
Mailing Address - Street 2:
Mailing Address - City:CARMEL
Mailing Address - State:IN
Mailing Address - Zip Code:46032-2392
Mailing Address - Country:US
Mailing Address - Phone:317-564-8305
Mailing Address - Fax:
Practice Address - Street 1:145 W ELM ST STE 170B
Practice Address - Street 2:
Practice Address - City:CARMEL
Practice Address - State:IN
Practice Address - Zip Code:46032-2392
Practice Address - Country:US
Practice Address - Phone:317-564-8305
Practice Address - Fax:317-785-7888
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-02-04
Last Update Date:2025-02-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health