Organization Active NPI

Angelic Healthcare LLC

  • Home Health Agency
  • Stamford, CT
National Provider Identifier
1104162825
Registry record updated Dec 28, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
HCA.0000620 Issued in CT
Legal business name
ANGELIC HEALTHCARE LLC
Practice address
43 Dolsen Place Apt. 2
Stamford, CT 06901
Phone
(203) 428-7558
Fax
(203) 965-0811
NPI assigned
Dec 28, 2012
Last updated
Dec 28, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 28, 2012

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

Authorized official

Name
Mrs. Joy Keitt
Title
President
Phone
(203) 428-7558

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X HCA.0000620 CT Primary

Addresses

Primary practice location

43 Dolsen Place Apt. 2
Stamford, CT 06901

Mailing address

43 Dolsen PL Apt 2
Stamford, CT 06901-1106
Phone (203) 965-0811

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1356652800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1356652800000",
    "number": "1104162825",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "43 DOLSEN PL APT 2",
            "city": "STAMFORD",
            "state": "CT",
            "postal_code": "069011106",
            "telephone_number": "203-965-0811"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "43 DOLSEN PLACE APT. 2",
            "city": "STAMFORD",
            "state": "CT",
            "postal_code": "06901",
            "telephone_number": "203-428-7558",
            "fax_number": "203-965-0811"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ANGELIC HEALTHCARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-12-28",
        "last_updated": "2012-12-28",
        "status": "A",
        "authorized_official_last_name": "KEITT",
        "authorized_official_first_name": "JOY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "203-428-7558",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "CT",
            "license": "HCA.0000620",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Stamford, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 28, 2012; 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.