Provider Demographics
NPI:1528789773
Name:CIRCLE HEALTHCARE, LLC
Entity type:Organization
Organization Name:CIRCLE HEALTHCARE, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:MR
Authorized Official - First Name:SPURGEON
Authorized Official - Middle Name:
Authorized Official - Last Name:WAMALA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:413-301-8516
Mailing Address - Street 1:235 CHESTNUT ST FL 1
Mailing Address - Street 2:
Mailing Address - City:SPRINGFIELD
Mailing Address - State:MA
Mailing Address - Zip Code:01103-1103
Mailing Address - Country:US
Mailing Address - Phone:413-301-8516
Mailing Address - Fax:413-333-2170
Practice Address - Street 1:235 CHESTNUT ST FL 1
Practice Address - Street 2:
Practice Address - City:SPRINGFIELD
Practice Address - State:MA
Practice Address - Zip Code:01103-1103
Practice Address - Country:US
Practice Address - Phone:413-301-8516
Practice Address - Fax:413-333-2170
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-09-07
Last Update Date:2022-09-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health