Angelic Home Care

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Legal business name

ANGELIC HOME CARE

Practice address

840 E 155TH St
@ND FLR
Phoenix, IL 60426-2552

Phone

(708) 250-2016

Fax

(708) 339-3682

NPI assigned

Apr 10, 2014

Organization subpart

No

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

Authorized official

Name

Mrs. Sharon Lavera Cunnigan-Wilson

Title

Manager

Phone

(708) 250-2016

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1397088000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1397088000000",
    "number": "1073932679",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "840 E 155TH ST",
            "address_2": "@ND FLR",
            "city": "PHOENIX",
            "state": "IL",
            "postal_code": "604262552",
            "telephone_number": "708-250-2016",
            "fax_number": "708-339-3682"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "840 E 155TH ST",
            "address_2": "@ND FLR",
            "city": "PHOENIX",
            "state": "IL",
            "postal_code": "604262552",
            "telephone_number": "708-250-2016",
            "fax_number": "708-339-3682"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ANGELIC HOME CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-04-10",
        "last_updated": "2014-04-10",
        "status": "A",
        "authorized_official_last_name": "CUNNIGAN-WILSON",
        "authorized_official_first_name": "SHARON",
        "authorized_official_middle_name": "LAVERA",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "708-250-2016",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Chantell Anderson
• Angela Christine Beard-Beal, MS,CCC-SLP
• Jessica Nichole Bell, BSN RN WCC, VWCN
• Anita Amanda Bloomingburg, CNA
• Cook County (Woody Winston Health Center)
• Pedro Carlos A Cruz, M.D.

• Home Health Agency in Phoenix, IL
• Providers in Phoenix, IL by specialty
• Home Health Agency in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 10, 2014; 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.