Organization
CIRCLE OF LIFE HOME CARE ANISHINAABE, LLC
Active
Other names
Circle of Life Home Care, Soaring Eagles Home Care
Organization subpart
No
Provider details
NPI number
Authorized official
KATIE FLEURY (CEO)
(612) 871-2474
Entity
Organization
Contact information
Practice address
4100 LEXINGTON AVE N STE 150, SHOREVIEW, MN 55126-3025
(612) 871-2474
(612) 870-3874
Mailing address
4100 LEXINGTON AVE N STE 150, SHOREVIEW, MN 55126-3025
(612) 871-2474
(612) 870-3874
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
03-091399-00-3
NM
251E00000X
Home Health Agency
—
—
253Z00000X
In Home Supportive Care Agency
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
05835739
—
MT
05
—
18010920111
—
MN
05
—
1801920111
—
CO
05
—
233426
—
AZ
05
—
43733034
—
NM
Enumeration date
03/16/2007
Last updated
02/10/2025
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