MEDICARE: CIRCLE HOME, INC.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	251E00000X	Home Health Agency		MA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1265421580
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	CIRCLE HOME, INC.

Provider Business Mailing Address
First Line	:	847 ROGERS ST
Second Line	:	SUITE 201
City	:	LOWELL
State	:	MA
Zip	:	01852-4345
Country	:	US
Telephone Number	:	978-459-9343
Fax Number	:	978-441-0007

Provider Business Practice Location Address
First Line	:	847 ROGERS ST
Second Line	:	SUITE 201
City	:	LOWELL
State	:	MA
Zip	:	01852-4345
Country	:	US
Telephone Number	:	978-459-9343
Fax Number	:	978-441-0007

Authorized Official
Title or Position	:	EXECUTIVE DIRECTOR
Name	:	DIANE FARRAHER-SMITH
Credential	:	MSN MBA RN
Telephone Number	:	978-805-2651

Provider Enumeration Date	:	10/19/2005
Last Update Date	:	03/07/2018

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Directions to “CIRCLE HOME, INC. ” Practice Location

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