Organization Active NPI

Your Angel on Duty, LLC

  • Home Health Agency
  • Phoenix, AZ
National Provider Identifier
1174046478
Registry record updated Jul 19, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
YOUR ANGEL ON DUTY, LLC
Practice address
4747 E Elliot Rd
#29-460
Phoenix, AZ 85040
Phone
(480) 352-1461
NPI assigned
Jul 19, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 19, 2017

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

Authorized official

Name
Michele Sanford-Booth
Title
Owner
Phone
(480) 352-1461

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X AZ Primary
In Home Supportive Care Agency 253Z00000X AZ

Addresses

Primary practice location

4747 E Elliot Rd
#29-460
Phoenix, AZ 85040

Mailing address

4747 E Elliot Rd # 29-460
Phoenix, AZ 85044-1627

National Provider Directory

National Provider Directory

Locations

4747 E Elliot Rd
#29460
Phoenix, AZ 85044
Phone (480) 352-1461

NPI Registry JSON

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

{
    "created_epoch": "1500422400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1500422400000",
    "number": "1174046478",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4747 E ELLIOT RD # 29-460",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850441627"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4747 E ELLIOT RD",
            "address_2": "#29-460",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "85040",
            "telephone_number": "480-352-1461"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "YOUR ANGEL ON DUTY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-07-19",
        "last_updated": "2017-07-19",
        "status": "A",
        "authorized_official_last_name": "SANFORD-BOOTH",
        "authorized_official_first_name": "MICHELE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "480-352-1461"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "AZ",
            "license": null,
            "primary": true
        },
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": "AZ",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Phoenix, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 19, 2017; 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.