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
1	251B00000X	Case Management 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	:	1902816416
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	:	2000 COMMERCE DR
Second Line	:
City	:	WEST MELBOURNE
State	:	FL
Zip	:	32904-2335
Country	:	US
Telephone Number	:	321-676-6650
Fax Number	:

Authorized Official
Title or Position	:	HR MANAGER
Name	:	FALLON DEROSA
Credential	:
Telephone Number	:	321-722-5273

Provider Enumeration Date	:	08/08/2006
Last Update Date	:	02/28/2022

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