CIRCLE OF LIFE NPI 1386755460

NPI Information

NPI: 1386755460
Provider Name: CIRCLE OF LIFE

Doing Business As: CIRCLE OF LIFE HOSPICE

Classification: Hospice Care, Community Based - 251G00000X
Entity Type: Organization

CLIA Number: 04D2008993

Address:
901 JONES RD
SPRINGDALE, AR
ZIP 72762
Phone: (479) 750-6632
Get Directions

CIRCLE OF LIFE is a hospice care community based in Springdale, AR. CIRCLE OF LIFE NPI is 1386755460. The provider is registered as an organization entity type.
The provider Is Doing Business As Circle Of Life Hospice.

The provider's business location address is:

901 JONES RD
SPRINGDALE, AR
ZIP 72762-875
Phone: (479) 750-6632
Fax: (479) 750-6622

The provider's authorized official is Terry F Sutterfield .
The authorized official title is Medical Director and has the following contact phone number (479) 750-6632.

The CLIA number assigned to this NPI record is 04D2008993 - hospice with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 8/31/2006 and was last updated on 8/13/2013.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	251G00000X	Hospice Care, Community Based		AR4315	ARKANSAS	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State
1	5C581	MEDICARE PIN	ARKANSAS
2	141380747	MEDICAID	ARKANSAS
3	041529	MEDICARE OSCAR/CERTIFICATION	ARKANSAS
4	146687764	MEDICAID	ARKANSAS

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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