Angel Home Health Care LLC

Primary specialty

In Home Supportive Care AgencyTaxonomy code 253Z00000X

Legal business name

ANGEL HOME HEALTH CARE LLC

Practice address

701 S Gammon Rd Ste V
Madison, WI 53719-1321

Phone

(608) 215-7006

NPI assigned

Jan 13, 2023

Last updated

Nov 13, 2023By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Kenneth Wayne House

Title

Ceo

Phone

(608) 239-1973

Specialties & licenses 1

Addresses

Other names 1

• ANGEL HOME HEALTH CARE LLC Other name

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

{
    "created_epoch": "1673568000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1699833600000",
    "number": "1043925019",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6666 ODANA RD STE 181",
            "city": "MADISON",
            "state": "WI",
            "postal_code": "537191012",
            "telephone_number": "608-215-7006"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "701 S GAMMON RD STE V",
            "city": "MADISON",
            "state": "WI",
            "postal_code": "537191321",
            "telephone_number": "608-215-7006"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ANGEL HOME HEALTH CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-01-13",
        "last_updated": "2023-11-13",
        "certification_date": "2023-11-13",
        "status": "A",
        "authorized_official_last_name": "HOUSE",
        "authorized_official_first_name": "KENNETH",
        "authorized_official_middle_name": "WAYNE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "608-239-1973"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "ANGEL HOME HEALTH CARE LLC",
            "code": "5",
            "type": "Other Name"
        },
        {
            "organization_name": "ANGEL HOME HEALTH CARE LLC",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Conrad L Andringa, MD
• Candye Renee Andrus, MD
• Anesis Center for Marriage and Family Therapy
• Anesis Foundation for Mental Health Inc.
• Alexis Aney, MS
• Karla Angel
• Clara Emilia Angeles, M.D.
• Angelic Awakenings, Inc (Inner Essence Center)
• Giuditta Angelini, MD
• Jennifer Angelo, OTR

• In Home Supportive Care Agency in Madison, WI
• Providers in Madison, WI by specialty
• In Home Supportive Care Agency in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 13, 2023; 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.