Provider Demographics
NPI:1144832494
Name:CIRCLE OF HOPE HOSPICE
Entity type:Organization
Organization Name:CIRCLE OF HOPE HOSPICE
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:CHIEF EXECUTIVE OFFICER
Authorized Official - Prefix:
Authorized Official - First Name:DOROTHY
Authorized Official - Middle Name:YOUNG
Authorized Official - Last Name:JOHNSON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:678-691-9773
Mailing Address - Street 1:5845 LIVE OAK PKWY STE A
Mailing Address - Street 2:
Mailing Address - City:NORCROSS
Mailing Address - State:GA
Mailing Address - Zip Code:30093-1738
Mailing Address - Country:US
Mailing Address - Phone:678-691-9773
Mailing Address - Fax:770-674-1262
Practice Address - Street 1:5845 LIVE OAK PKWY STE A
Practice Address - Street 2:
Practice Address - City:NORCROSS
Practice Address - State:GA
Practice Address - Zip Code:30093-1738
Practice Address - Country:US
Practice Address - Phone:678-691-9773
Practice Address - Fax:770-674-1262
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-08-18
Last Update Date:2025-01-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251G00000XAgenciesHospice Care, Community Based