NPIMap

Organization Active NPI

Angels on Earth Home Care, LLC.

  • In Home Supportive Care Agency
  • Beaver Dam, WI
National Provider Identifier
1083859938
Registry record updated Dec 6, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
Legal business name
ANGELS ON EARTH HOME CARE, LLC.
Practice address
420 Haskell St
Beaver Dam, WI 53916-1406
Phone
(920) 763-4666
NPI assigned
Dec 6, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 6, 2008

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

Authorized official

Name
Mrs. Kelly Lynn Aschenbrenner
Title
Secretary
Phone
(920) 763-4666

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
In Home Supportive Care Agency 253Z00000X Primary

Addresses

Primary practice location

420 Haskell St
Beaver Dam, WI 53916-1406

Mailing address

420 Haskell St
Beaver Dam, WI 53916-1406
Phone (920) 763-4666

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1228521600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1228521600000",
    "number": "1083859938",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "420 HASKELL ST",
            "city": "BEAVER DAM",
            "state": "WI",
            "postal_code": "539161406",
            "telephone_number": "920-763-4666"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "420 HASKELL ST",
            "city": "BEAVER DAM",
            "state": "WI",
            "postal_code": "539161406",
            "telephone_number": "920-763-4666"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ANGELS ON EARTH HOME CARE, LLC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-12-06",
        "last_updated": "2008-12-06",
        "status": "A",
        "authorized_official_last_name": "ASCHENBRENNER",
        "authorized_official_first_name": "KELLY",
        "authorized_official_middle_name": "LYNN",
        "authorized_official_title_or_position": "SECRETARY",
        "authorized_official_telephone_number": "920-763-4666",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Beaver Dam, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 6, 2008; 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.