Provider Demographics
NPI:1134762883
Name:CARE CIRCLE, LLC
Entity type:Organization
Organization Name:CARE CIRCLE, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:BOARD SECRETARY
Authorized Official - Prefix:MRS
Authorized Official - First Name:ANNA CERISSA
Authorized Official - Middle Name:REYES
Authorized Official - Last Name:BASCO
Authorized Official - Suffix:
Authorized Official - Credentials:LVN
Authorized Official - Phone:626-392-0359
Mailing Address - Street 1:1135 E ROUTE 66 STE 209
Mailing Address - Street 2:
Mailing Address - City:GLENDORA
Mailing Address - State:CA
Mailing Address - Zip Code:91740-3778
Mailing Address - Country:US
Mailing Address - Phone:626-521-9051
Mailing Address - Fax:626-466-3005
Practice Address - Street 1:1135 E ROUTE 66 STE 209
Practice Address - Street 2:
Practice Address - City:GLENDORA
Practice Address - State:CA
Practice Address - Zip Code:91740-3778
Practice Address - Country:US
Practice Address - Phone:626-521-9051
Practice Address - Fax:626-466-3005
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-10-25
Last Update Date:2024-11-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health