Healthcare Provider Details

I. General information

NPI: 1780544353
Provider Name (Legal Business Name): CIRCLE OF LIGHT LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/14/2025
Last Update Date: 07/27/2026
Certification Date: 07/27/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

116 GRANVILLE ST STE 101
COLUMBUS OH
43230-3044
US

IV. Provider business mailing address

116 GRANVILLE ST STE 101
COLUMBUS OH
43230-3044
US

V. Phone/Fax

Practice location:
  • Phone: 380-400-3583
  • Fax:
Mailing address:
  • Phone: 380-400-3583
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code253Z00000X
TaxonomyIn Home Supportive Care Agency
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code347C00000X
TaxonomyPrivate Vehicle
License Number
License Number State

VIII. Authorized Official

Name: MERCEDES BENNETT
Title or Position: OWNER
Credential:
Phone: 614-371-1409