MEDICARE: CARE CIRCLE, 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

General Provider Information

NPI Number	:	1134762883
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	CARE CIRCLE, LLC

Provider Business Mailing Address
First Line	:	1135 E ROUTE 66 STE 209
Second Line	:
City	:	GLENDORA
State	:	CA
Zip	:	91740-3778
Country	:	US
Telephone Number	:	626-521-9051
Fax Number	:	626-466-3005

Provider Business Practice Location Address
First Line	:	1135 E ROUTE 66 STE 209
Second Line	:
City	:	GLENDORA
State	:	CA
Zip	:	91740-3778
Country	:	US
Telephone Number	:	626-521-9051
Fax Number	:	626-466-3005

Authorized Official
Title or Position	:	BOARD SECRETARY
Name	:	MRS. ANNA CERISSA REYES BASCO
Credential	:	L.V.N.
Telephone Number	:	626-392-0359

Provider Enumeration Date	:	10/25/2019
Last Update Date	:	11/27/2024

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Directions to “CARE CIRCLE, LLC ” Practice Location

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