Provider Demographics
NPI:1255042578
Name:A CIRCLE OF LOVE HOME HEALTH CARE
Entity type:Organization
Organization Name:A CIRCLE OF LOVE HOME HEALTH CARE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:RENEE
Authorized Official - Middle Name:
Authorized Official - Last Name:STEWART
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:216-609-2199
Mailing Address - Street 1:3256 W 25TH ST APT 312
Mailing Address - Street 2:
Mailing Address - City:CLEVELAND
Mailing Address - State:OH
Mailing Address - Zip Code:44109-1562
Mailing Address - Country:US
Mailing Address - Phone:216-609-2199
Mailing Address - Fax:
Practice Address - Street 1:3256 W 25TH ST APT 312
Practice Address - Street 2:
Practice Address - City:CLEVELAND
Practice Address - State:OH
Practice Address - Zip Code:44109-1562
Practice Address - Country:US
Practice Address - Phone:216-609-2199
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-12-07
Last Update Date:2022-12-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health