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

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1174820062
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	CARE CIRCLE, LLC.

Provider Business Mailing Address
First Line	:	1864 E 89TH ST
Second Line	:
City	:	CLEVELAND
State	:	OH
Zip	:	44106-2006
Country	:	US
Telephone Number	:	216-721-9097
Fax Number	:	216-721-8665

Provider Business Practice Location Address
First Line	:	1864 E 89TH ST
Second Line	:
City	:	CLEVELAND
State	:	OH
Zip	:	44106-2006
Country	:	US
Telephone Number	:	216-721-9097
Fax Number	:	216-721-8665

Authorized Official
Title or Position	:	CEO
Name	:	JEFFREY STEVEN RIVERS
Credential	:
Telephone Number	:	216-721-9097

Provider Enumeration Date	:	02/11/2011
Last Update Date	:	02/11/2011

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Directions to “CARE CIRCLE, LLC. ” Practice Location

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