Healthcare Provider Details

I. General information

NPI: 1912879743
Provider Name (Legal Business Name): CIRCLE OF CARE SUPPORTIVE SERVICES
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/22/2025
Last Update Date: 09/22/2025
Certification Date: 09/22/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4221 MORGAN PL
PERRYSBURG OH
43551-2194
US

IV. Provider business mailing address

PO BOX 154
PERRYSBURG OH
43552-0154
US

V. Phone/Fax

Practice location:
  • Phone: 419-913-9539
  • Fax:
Mailing address:
  • Phone: 419-913-9539
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code253Z00000X
TaxonomyIn Home Supportive Care Agency
License Number
License Number State

VIII. Authorized Official

Name: CIERA GARRETT
Title or Position: OWNER
Credential: RN
Phone: 419-913-9539