Angelique Healthcare Supply Inc.

Primary specialty

Oxygen Equipment & Supplies (DME)Taxonomy code 332BX2000X

License

0088916 Issued in TX

Legal business name

ANGELIQUE HEALTHCARE SUPPLY INC.

Practice address

2535 E. Arkansas LN
Suite 311
Arlington, TX 76010-8797

Phone

(817) 299-0297

Fax

(817) 299-0394

NPI assigned

Sep 20, 2006

Organization subpart

No

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

Authorized official

Name

Mrs. Roselyn Jack, CFS

Title

President

Phone

(817) 299-0297

Specialties & licenses 2

Addresses

Other identifiers 4

Locations

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

{
    "created_epoch": "1158710400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1216080000000",
    "number": "1184721391",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2535 E. ARKANSAS LANE",
            "address_2": "SUITE 311",
            "city": "ARLINGTON",
            "state": "TX",
            "postal_code": "760108797",
            "telephone_number": "817-299-0297",
            "fax_number": "817-299-0394"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2535 E. ARKANSAS LN",
            "address_2": "SUITE 311",
            "city": "ARLINGTON",
            "state": "TX",
            "postal_code": "760108797",
            "telephone_number": "817-299-0297",
            "fax_number": "817-299-0394"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ANGELIQUE HEALTHCARE SUPPLY INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-20",
        "last_updated": "2008-07-15",
        "status": "A",
        "authorized_official_last_name": "JACK",
        "authorized_official_first_name": "ROSELYN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "817-299-0297",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "CFS"
    },
    "taxonomies": [
        {
            "code": "332BC3200X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Customized Equipment",
            "state": "TX",
            "license": "0088916",
            "primary": false
        },
        {
            "code": "332BX2000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies",
            "state": "TX",
            "license": "0088916",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "185278203",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TDSHS LICENSE",
            "identifier": "0088916",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "185278202",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "185278201",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Angelhands HCS & Txhml Incorporated
• Angelic Hands Home Care, LLC
• Angelic Homehealth Care Services
• Angelic Touch Healthcare LLC
• Angelie Zamora DDS PC
• Angels Court Healthcare Corporation
• Angelstar Home Health Care
• Revathi Angitapalli, M.D.
• Muhammad Wajeeh Anis
• Anjani Amin, MD, PA

• Oxygen Equipment & Supplies (DME) in Arlington, TX
• Providers in Arlington, TX by specialty
• Oxygen Equipment & Supplies (DME) in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 15, 2008; 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.