Active NPI
Your Angel on Duty, LLC
- Home Health Agency
- Phoenix, AZ
National Provider Identifier
1174046478
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Agency
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 DirectoryLocations
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.