Organization Active NPI

Angel Care

  • Home Health Agency
  • Hackensack, NJ
National Provider Identifier
1093960932
Registry record updated Apr 29, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
HP0115400 Issued in NJ
Legal business name
ANGEL CARE
Practice address
87 Old River St
Hackensack, NJ 07601-7109
Phone
(201) 265-2818
Fax
(201) 265-2817
NPI assigned
Nov 19, 2008
Last updated
Apr 29, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 29, 2016

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

Authorized official

Name
Mrs. Tami C Weaver
Title
Ceo/President
Phone
(201) 265-2818

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X HP0115400 NJ Primary

Addresses

Primary practice location

87 Old River St
Hackensack, NJ 07601-7109

Mailing address

381 Main St
Hackensack, NJ 07601-5806
Phone (201) 265-2818

Other identifiers 1

IdentifierTypeStateIssuer
0184586MedicaidNJ

National Provider Directory

National Provider Directory

Locations

381 Main St
Hackensack, NJ 07601
Phone (201) 342-5226

NPI Registry JSON

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

{
    "created_epoch": "1227052800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1461888000000",
    "number": "1093960932",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "381 MAIN ST",
            "city": "HACKENSACK",
            "state": "NJ",
            "postal_code": "076015806",
            "telephone_number": "201-265-2818",
            "fax_number": "201-265-2817"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "87 OLD RIVER ST",
            "city": "HACKENSACK",
            "state": "NJ",
            "postal_code": "076017109",
            "telephone_number": "201-265-2818",
            "fax_number": "201-265-2817"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ANGEL CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-11-19",
        "last_updated": "2016-04-29",
        "status": "A",
        "authorized_official_last_name": "WEAVER",
        "authorized_official_first_name": "TAMI",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "CEO/PRESIDENT",
        "authorized_official_telephone_number": "201-265-2818",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "NJ",
            "license": "HP0115400",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0184586",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Hackensack, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 29, 2016; 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.