Organization Active NPI

Angels of St. Clair, Inc.

Doing business as Angels of Macomb Inc

  • In Home Supportive Care Agency
  • Port Huron, MI
National Provider Identifier
1114484854
Registry record updated Mar 1, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
Legal business name
ANGELS OF ST. CLAIR, INC.
Doing business as
Angels of Macomb Inc
Visiting Angels
Practice address
1530 Pine Grove Ave Ste 7
Port Huron, MI 48060-3370
Phone
(810) 966-2273
NPI assigned
Mar 1, 2019
Last updated
Mar 1, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 1, 2019

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

Authorized official

Name
Stephen Novak
Title
Owner
Phone
(586) 726-6999

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X
Respite Care 385H00000X
In Home Supportive Care Agency 253Z00000X Primary
Meals Provider 174200000X

Addresses

Primary practice location

1530 Pine Grove Ave Ste 7
Port Huron, MI 48060-3370

Mailing address

1530 Pine Grove Ave Ste 7
Port Huron, MI 48060-3370
Phone (810) 966-2273

Other names 2

  • Angels of Macomb Inc Doing business as
  • Visiting Angels Doing business as

National Provider Directory

National Provider Directory

Locations

1530 Pine Grove Ave
Ste 7
Port Huron, MI 48060
Phone (810) 985-0029

NPI Registry JSON

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

{
    "created_epoch": "1551398400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1551398400000",
    "number": "1114484854",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1530 PINE GROVE AVE STE 7",
            "city": "PORT HURON",
            "state": "MI",
            "postal_code": "480603370",
            "telephone_number": "810-966-2273"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1530 PINE GROVE AVE STE 7",
            "city": "PORT HURON",
            "state": "MI",
            "postal_code": "480603370",
            "telephone_number": "810-966-2273"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ANGELS OF ST. CLAIR, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-03-01",
        "last_updated": "2019-03-01",
        "status": "A",
        "authorized_official_last_name": "NOVAK",
        "authorized_official_first_name": "STEPHEN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "586-726-6999"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "385H00000X",
            "taxonomy_group": "",
            "desc": "Respite Care",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "174200000X",
            "taxonomy_group": "",
            "desc": "Meals",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Angels of Macomb Inc",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Visiting Angels",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Port Huron, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 1, 2019; 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.