Healthcare Provider Details

I. General information

NPI: 1164341244
Provider Name (Legal Business Name): PRIVATE CIRCLE CARE LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/13/2026
Last Update Date: 07/13/2026
Certification Date: 07/13/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

12921 SW 232ND LN
HOMESTEAD FL
33032-9230
US

IV. Provider business mailing address

2125 BISCAYNE BLVD # 23416
MIAMI FL
33137-5031
US

V. Phone/Fax

Practice location:
  • Phone: 786-617-5447
  • Fax:
Mailing address:
  • Phone: 305-404-2299
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number State

VIII. Authorized Official

Name: MRS. VANESSA STEPHEN
Title or Position: VP OF OPERATIONS
Credential:
Phone: 786-617-5447