Provider Demographics
NPI:1336956192
Name:THE CIRCLE OF LIFE HOME CARE AGENCY INC
Entity type:Organization
Organization Name:THE CIRCLE OF LIFE HOME CARE AGENCY INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:EVY
Authorized Official - Middle Name:A
Authorized Official - Last Name:HART
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:252-382-8134
Mailing Address - Street 1:833 N FAIRVIEW RD
Mailing Address - Street 2:
Mailing Address - City:ROCKY MOUNT
Mailing Address - State:NC
Mailing Address - Zip Code:27801-6114
Mailing Address - Country:US
Mailing Address - Phone:252-231-0517
Mailing Address - Fax:
Practice Address - Street 1:833 N FAIRVIEW RD
Practice Address - Street 2:
Practice Address - City:ROCKY MOUNT
Practice Address - State:NC
Practice Address - Zip Code:27801-6114
Practice Address - Country:US
Practice Address - Phone:252-231-0517
Practice Address - Fax:252-231-0115
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-12-16
Last Update Date:2024-12-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care