Angel Care Home Health, Inc.

Primary specialty

In Home Supportive Care AgencyTaxonomy code 253Z00000X

License

1000000006486 Issued in TN

Legal business name

ANGEL CARE HOME HEALTH, INC.

Practice address

723 W Jackson St
Cookeville, TN 38501-3993

Phone

(931) 372-7777

Fax

(931) 526-3683

NPI assigned

Oct 5, 2010

Organization subpart

No

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

Authorized official

Name

Ms. Charlotte J Suggs

Title

President/Ceo Executive Director

Phone

(931) 372-7777

Specialties & licenses 1

Addresses

Other names 1

• Visiting Angels Living Assistance Services Doing business as

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

{
    "created_epoch": "1286236800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1286236800000",
    "number": "1144539396",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "723 W JACKSON ST",
            "city": "COOKEVILLE",
            "state": "TN",
            "postal_code": "385013993",
            "telephone_number": "931-372-7777",
            "fax_number": "931-526-3683"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "723 W JACKSON ST",
            "city": "COOKEVILLE",
            "state": "TN",
            "postal_code": "385013993",
            "telephone_number": "931-372-7777",
            "fax_number": "931-526-3683"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ANGEL CARE HOME HEALTH, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-10-05",
        "last_updated": "2010-10-05",
        "status": "A",
        "authorized_official_last_name": "SUGGS",
        "authorized_official_first_name": "CHARLOTTE",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "PRESIDENT/CEO  EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "931-372-7777",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": "TN",
            "license": "1000000006486",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Visiting Angels Living Assistance Services",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• In Home Supportive Care Agency in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 5, 2010; 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.