Organization Active NPI

Angel Care Network

  • Home Health Agency
  • Riva, MD
National Provider Identifier
1164746418
Registry record updated Mar 16, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
R2731 Issued in MD
Legal business name
ANGEL CARE NETWORK
Practice address
412 Westbury Dr
Riva, MD 21140-1411
Phone
(443) 758-5969
Fax
(443) 458-0447
NPI assigned
Mar 16, 2010
Last updated
Mar 16, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 16, 2010

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

Authorized official

Name
Mrs. Kristina Inge Johnson
Title
Services Director
Phone
(443) 758-5969

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X R2731 MD Primary

Addresses

Primary practice location

412 Westbury Dr
Riva, MD 21140-1411

Mailing address

412 Westbury Dr
Riva, MD 21140-1411
Phone (443) 758-5969

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1268697600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1268697600000",
    "number": "1164746418",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "412 WESTBURY DR",
            "city": "RIVA",
            "state": "MD",
            "postal_code": "211401411",
            "telephone_number": "443-758-5969",
            "fax_number": "443-458-0447"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "412 WESTBURY DR",
            "city": "RIVA",
            "state": "MD",
            "postal_code": "211401411",
            "telephone_number": "443-758-5969",
            "fax_number": "443-458-0447"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ANGEL CARE NETWORK",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-03-16",
        "last_updated": "2010-03-16",
        "status": "A",
        "authorized_official_last_name": "JOHNSON",
        "authorized_official_first_name": "KRISTINA",
        "authorized_official_middle_name": "INGE",
        "authorized_official_title_or_position": "SERVICES DIRECTOR",
        "authorized_official_telephone_number": "443-758-5969",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "MD",
            "license": "R2731",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Riva, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 16, 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.