Angel Star Helping Hands, LLC

Key facts

NPI

1104338714

Entity type

Organization (NPI type 2)

Primary specialty

Home Health Agency 251E00000X

License

234873 (FL)

Legal business name

ANGEL STAR HELPING HANDS, LLC

Practice address

144 Secretary TRL
Palm Coast, FL 32164-4404

Phone

(386) 527-0660

Fax

(386) 313-5233

NPI assigned

Nov 5, 2017

Organization subpart

No

Authorized official

Name

Mrs. Wandrea A Brown NPI 1245763374

Title

Owner

Phone

(386) 527-0660

Authorized official NPPES reports the authorized official by name only; the link goes to the one practitioner connected to this organization with that name.

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Wandrea Brown Contractor · Palm Coast, FL · NPI 1245763374
  NPD (past) Authorized official

National Provider Directory

Specialties & licenses

Addresses

Other identifiers

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Nov 5, 2017.

{
    "created_epoch": "1509840000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1509840000000",
    "number": "1104338714",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "144 SECRETARY TRL",
            "city": "PALM COAST",
            "state": "FL",
            "postal_code": "321644404"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "144 SECRETARY TRL",
            "city": "PALM COAST",
            "state": "FL",
            "postal_code": "321644404",
            "telephone_number": "386-527-0660",
            "fax_number": "386-313-5233"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ANGEL STAR HELPING HANDS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-11-05",
        "last_updated": "2017-11-05",
        "status": "A",
        "authorized_official_last_name": "BROWN",
        "authorized_official_first_name": "WANDREA",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "386-527-0660",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "FL",
            "license": "234873",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "020407400",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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