Angel Watch Home Care, Inc.

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

License

299993523 Issued in FL

Legal business name

ANGEL WATCH HOME CARE, INC.

Practice address

1869 S. 8TH Street
Suite a
Fernandina Beach, FL 32034-3072

Phone

(904) 491-3222

Fax

(904) 491-3211

NPI assigned

Jun 9, 2009

Organization subpart

No

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

Authorized official

Name

Paul Kusserow

Title

President

Phone

(225) 292-2031

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1244505600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1474934400000",
    "number": "1154557809",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3854 AMERICAN WAY",
            "address_2": "SUITE A",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "708164013",
            "telephone_number": "225-292-2031",
            "fax_number": "225-295-9678"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1869 S. 8TH STREET",
            "address_2": "SUITE A",
            "city": "FERNANDINA BEACH",
            "state": "FL",
            "postal_code": "320343072",
            "telephone_number": "904-491-3222",
            "fax_number": "904-491-3211"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ANGEL WATCH HOME CARE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-06-09",
        "last_updated": "2016-09-27",
        "status": "A",
        "authorized_official_last_name": "KUSSEROW",
        "authorized_official_first_name": "PAUL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "225-292-2031"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "FL",
            "license": "299993523",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Michelle Caroline Appleby, M.S., CCC-SLP
• Marissa Claire Artman, M.A., CCC-SLP
• Associates in Assisted Living Inc. (The Jane Adams House)

• Home Health Agency in Fernandina Beach, FL
• Providers in Fernandina Beach, FL by specialty
• Home Health Agency in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 27, 2016; 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.