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NPI Code Detail

MEDICARE: CIRCLES OF CARE, INC.

MEDICARE: CIRCLES OF CARE, INC.
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
13104A0625XAssisted Living Facility (Mental Illness)8550FL
2323P00000XPsychiatric Residential Treatment Facility8599FL
3283Q00000XPsychiatric Hospital3987FL

Other Identifiers

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

General Provider Information

NPI Number : 1588777460
Entity Type Code : Organization
Provider Name (Legal Business Name) : CIRCLES OF CARE, INC.
Provider Business Mailing Address
First Line : 400 E SHERIDAN RD
Second Line :
City : MELBOURNE
State : FL
Zip : 32901-3184
Country : US
Telephone Number : 321-722-5200
Fax Number :
Provider Business Practice Location Address
First Line : 400 E SHERIDAN RD
Second Line :
City : MELBOURNE
State : FL
Zip : 32901-3184
Country : US
Telephone Number : 321-722-5200
Fax Number :
Authorized Official
Title or Position : HR MANAGER
Name : FALLON DEROSA
Credential :
Telephone Number : 321-722-5273
Provider Enumeration Date : 08/16/2006
Last Update Date : 02/28/2022

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Directions to “CIRCLES OF CARE, INC. ” Practice Location

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