MEDICARE: A CIRCLE OF CARE COLORADO, LLC.

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
2	253Z00000X	In Home Supportive Care Agency

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	:	1306303680
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	A CIRCLE OF CARE COLORADO, LLC.

Provider Business Mailing Address
First Line	:	7025 N SCOTTSDALE RD STE 200
Second Line	:
City	:	SCOTTSDALE
State	:	AZ
Zip	:	85253-3675
Country	:	US
Telephone Number	:	602-508-1883
Fax Number	:	602-385-4941

Provider Business Practice Location Address
First Line	:	1365 GARDEN OF THE GODS RD STE 100
Second Line	:
City	:	COLORADO SPRINGS
State	:	CO
Zip	:	80907-3419
Country	:	US
Telephone Number	:	719-476-0205
Fax Number	:	719-476-0231

Authorized Official
Title or Position	:	ADMINISTRATOR
Name	:	MRS. CATHERINE BAZE
Credential	:	MSW
Telephone Number	:	719-476-0205

Provider Enumeration Date	:	02/22/2019
Last Update Date	:	03/12/2020

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