Active NPI
Javinnis Angles
- Home Health Aide
- Philadelphia, PA
National Provider Identifier
1053066688
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Aide
- Legal business name
- JAVINNIS ANGLES
- Practice address
- 1667 N Allison St
Philadelphia, PA 19131-3530 - Phone
- (267) 658-9971
- NPI assigned
- Feb 11, 2022
- Last updated
- Feb 11, 2022
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Meldoy Jackson
- Title
- Owner
- Phone
- (267) 658-9971
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Aide | 374U00000X | NU | Primary |
Addresses
Primary practice location
1667 N Allison St
Philadelphia, PA 19131-3530
Mailing address
1667 N Allison St
Philadelphia, PA 19131-3530
Phone (267) 658-9971
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- In Home Supportive Care Agency
- Philadelphia, PA
- NPI 1316601511
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1644537600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1644537600000",
"number": "1053066688",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1667 N ALLISON ST",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "191313530",
"telephone_number": "267-658-9971"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1667 N ALLISON ST",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "191313530",
"telephone_number": "267-658-9971"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "JAVINNIS ANGLES",
"organizational_subpart": "NO",
"enumeration_date": "2022-02-11",
"last_updated": "2022-02-11",
"certification_date": "2022-02-11",
"status": "A",
"authorized_official_last_name": "JACKSON",
"authorized_official_first_name": "MELDOY",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "267-658-9971"
},
"taxonomies": [
{
"code": "374U00000X",
"taxonomy_group": "",
"desc": "Home Health Aide",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Philadelphia, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 11, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.