Organization
CIRCLES OF CARE, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
FALLON DEROSA (VICE PRESIDENT HUMAN RELATIONS)
(321) 722-5273
Entity
Organization
Contact information
Practice address
400 E SHERIDAN RD, MELBOURNE, FL 32901-3184
(321) 722-5200
(321) 722-5230
Mailing address
400 E SHERIDAN RD, MELBOURNE, FL 32901-3184
(321) 722-5200
(321) 722-5230
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
—
—
283Q00000X
Psychiatric Hospital
Primary
—
—
3104A0625X
Assisted Living Facility (Mental Illness)
8550
FL
323P00000X
Psychiatric Residential Treatment Facility
8599
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00795
BLUE SHIELD
FL
01
—
028661
VALUE OPTIONS
FL
05
—
060291400
—
FL
05
—
113484600
—
FL
01
—
E90
BLUE CROSS
FL
Enumeration date
03/10/2006
Last updated
04/16/2024
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