MEDICARE: CIRCLE OF LOVE HOME HEALTH

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	251J00000X	Nursing Care Agency	I000000015941	TN

General Provider Information

NPI Number	:	1043605215
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	CIRCLE OF LOVE HOME HEALTH

Provider Business Mailing Address
First Line	:	3189 KIRBY WHITTEN RD
Second Line	:	203D
City	:	BARTLETT
State	:	TN
Zip	:	38134-2854
Country	:	US
Telephone Number	:	901-266-1556
Fax Number	:	901-266-1557

Provider Business Practice Location Address
First Line	:	3189 KIRBY WHITTEN RD
Second Line	:	203D
City	:	BARTLETT
State	:	TN
Zip	:	38134-2854
Country	:	US
Telephone Number	:	901-266-1556
Fax Number	:	901-266-1557

Authorized Official
Title or Position	:	OWNER/ADMINISTRATOR
Name	:	MRS. ANGELA WARREN
Credential	:
Telephone Number	:	901-438-6469

Provider Enumeration Date	:	04/03/2015
Last Update Date	:	04/08/2015

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Directions to “CIRCLE OF LOVE HOME HEALTH ” Practice Location

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