Organization Active NPI

Angelic Healthcare Services , Inc.

  • Home Health Agency
  • North Brunswick, NJ
National Provider Identifier
1043692270
Registry record updated Jun 24, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
25M08523700 Issued in NJ
Legal business name
ANGELIC HEALTHCARE SERVICES , INC.
Practice address
637 Georges Rd
North Brunswick, NJ 08902-3331
Phone
(908) 307-3406
Fax
(718) 447-5178
NPI assigned
Jun 24, 2015
Last updated
Jun 24, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 24, 2015

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

Authorized official

Name
Dr. Mary Bernadette Galvin, M.D.
Title
Medical Director
Phone
(908) 307-9406

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X 25M08523700 NJ Primary

Addresses

Primary practice location

637 Georges Rd
North Brunswick, NJ 08902-3331

Mailing address

637 Georges Rd
North Brunswick, NJ 08902-3331
Phone (908) 307-3406

National Provider Directory

National Provider Directory

Locations

637 Georges Rd
North Brunswick, NJ 08902
Phone (732) 246-8905

NPI Registry JSON

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

{
    "created_epoch": "1435104000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1435104000000",
    "number": "1043692270",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "637 GEORGES RD",
            "city": "NORTH BRUNSWICK",
            "state": "NJ",
            "postal_code": "089023331",
            "telephone_number": "908-307-3406",
            "fax_number": "718-447-5178"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "637 GEORGES RD",
            "city": "NORTH BRUNSWICK",
            "state": "NJ",
            "postal_code": "089023331",
            "telephone_number": "908-307-3406",
            "fax_number": "718-447-5178"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ANGELIC HEALTHCARE SERVICES , INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-06-24",
        "last_updated": "2015-06-24",
        "status": "A",
        "authorized_official_last_name": "GALVIN",
        "authorized_official_first_name": "MARY",
        "authorized_official_middle_name": "BERNADETTE",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "908-307-9406",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "NJ",
            "license": "25M08523700",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in North Brunswick, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 24, 2015; 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.