Angel Wings Home Services & Case Management Agency, LLC

Primary specialty

In Home Supportive Care AgencyTaxonomy code 253Z00000X

License

2254-3593 Issued in WV

Legal business name

ANGEL WINGS HOME SERVICES & CASE MANAGEMENT AGENCY, LLC

Practice address

517 C St
South Charleston, WV 25303-1251

Phone

(304) 720-2026

Fax

(304) 720-2027

NPI assigned

Jul 19, 2011

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Ms. Joyce B. Moore, RN

Title

Director/Ceo

Phone

(304) 720-2026

Specialties & licenses 1

Addresses

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1311033600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1311033600000",
    "number": "1043508591",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "517 C ST",
            "city": "SOUTH CHARLESTON",
            "state": "WV",
            "postal_code": "253031251",
            "telephone_number": "304-720-2026",
            "fax_number": "304-720-2027"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "517 C ST",
            "city": "SOUTH CHARLESTON",
            "state": "WV",
            "postal_code": "253031251",
            "telephone_number": "304-720-2026",
            "fax_number": "304-720-2027"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ANGEL WINGS HOME SERVICES & CASE MANAGEMENT AGENCY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-07-19",
        "last_updated": "2011-07-19",
        "status": "A",
        "authorized_official_last_name": "MOORE",
        "authorized_official_first_name": "JOYCE",
        "authorized_official_middle_name": "B.",
        "authorized_official_title_or_position": "DIRECTOR/CEO",
        "authorized_official_telephone_number": "304-720-2026",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": "WV",
            "license": "2254-3593",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Patricia Faye Anderson
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• Tarek Anderson, M.D.
• Tayler Anderson
• William Anderson, RPH
• Sandra Angulo
• Muhammad Absar Anwar, MBBS, MD
• Appalachian Child Development Agency, LLC
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• In Home Supportive Care Agency in South Charleston, WV
• Providers in South Charleston, WV by specialty
• In Home Supportive Care Agency in West Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 19, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.