Stanford Angels LLC

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Legal business name

STANFORD ANGELS LLC

Practice address

190 State Route 27 Ste 101
Edison, NJ 08820-3538

Phone

(862) 944-6727

NPI assigned

Dec 1, 2020

Organization subpart

No

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

Authorized official

Name

Sharon Stanford

Title

Owner/President

Phone

(862) 944-6727

Specialties & licenses 1

Addresses

Locations

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

• Stanford Angels Clear Mind and Wellness LLC

  • Adult Mental Health Clinic/Center
  • Rahway, NJ
  • NPI 1770330730
  NPPES parent name

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

{
    "created_epoch": "1606780800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1606780800000",
    "number": "1134724883",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "190 STATE ROUTE 27 STE 101",
            "city": "EDISON",
            "state": "NJ",
            "postal_code": "088203538",
            "telephone_number": "862-944-6727"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "190 STATE ROUTE 27 STE 101",
            "city": "EDISON",
            "state": "NJ",
            "postal_code": "088203538",
            "telephone_number": "862-944-6727"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STANFORD ANGELS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-12-01",
        "last_updated": "2020-12-01",
        "certification_date": "2020-12-01",
        "status": "A",
        "authorized_official_last_name": "STANFORD",
        "authorized_official_first_name": "SHARON",
        "authorized_official_title_or_position": "OWNER/PRESIDENT",
        "authorized_official_telephone_number": "862-944-6727"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Raelyn Sprenkle, LCSW, MED
• Spring Hills Home Care Services, LLC - NJ
• Spring Hills Therapy, LLC
• Aruna Sree, M.D.
• Kousik Surya Sridharan, MD
• Luke Stanton
• Amy Rae Stark, PT
• State of New Jersey Omb Centralized Payroll
• Makila Statum
• Seth I Stein, MD

• All providers in Edison, NJ
• Home Health Agency in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 1, 2020; 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.