Provider Demographics
NPI:1518715473
Name:VILLAGE CIRCLE HOME CARE LLC
Entity type:Organization
Organization Name:VILLAGE CIRCLE HOME CARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:VERNA
Authorized Official - Middle Name:
Authorized Official - Last Name:SMITH-STONE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:202-607-3994
Mailing Address - Street 1:2010 N HAMPTON RD STE 300
Mailing Address - Street 2:
Mailing Address - City:DESOTO
Mailing Address - State:TX
Mailing Address - Zip Code:75115-0203
Mailing Address - Country:US
Mailing Address - Phone:202-607-3994
Mailing Address - Fax:
Practice Address - Street 1:2010 N HAMPTON RD STE 300
Practice Address - Street 2:
Practice Address - City:DESOTO
Practice Address - State:TX
Practice Address - Zip Code:75115-0203
Practice Address - Country:US
Practice Address - Phone:202-607-3994
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-05-07
Last Update Date:2024-05-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care