MEDICARE: CIRCLE OF FRIENDS IN HOME HEALTH CARE 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	253Z00000X	In Home Supportive Care Agency

General Provider Information

NPI Number	:	1740099563
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	CIRCLE OF FRIENDS IN HOME HEALTH CARE LLC

Provider Business Mailing Address
First Line	:	802 CUSTER AVE
Second Line	:
City	:	NORFOLK
State	:	NE
Zip	:	68701-0859
Country	:	US
Telephone Number	:	402-371-3567
Fax Number	:

Provider Business Practice Location Address
First Line	:	802 CUSTER AVE
Second Line	:
City	:	NORFOLK
State	:	NE
Zip	:	68701-0859
Country	:	US
Telephone Number	:	402-371-3567
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	VICKI MAHIN
Credential	:	OWNER
Telephone Number	:	402-649-4442

Provider Enumeration Date	:	01/06/2025
Last Update Date	:	01/06/2025

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