Angelwings Coordinated Care LLC

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Legal business name

ANGELWINGS COORDINATED CARE LLC

Practice address

HC 61, Box 416 Quail Drive
Glenwood, NM 88039

Phone

(505) 539-2227

Fax

(505) 539-2225

NPI assigned

Jan 11, 2007

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Sharon L Beaty

Title

Owner

Phone

(505) 539-2227

Specialties & licenses 1

Addresses

Other identifiers 2

Locations

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

{
    "created_epoch": "1168473600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1184774291",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "HC 61, BOX 416 QUAIL DRIVE",
            "city": "GLENWOOD",
            "state": "NM",
            "postal_code": "88039",
            "telephone_number": "505-539-2227",
            "fax_number": "505-539-2225"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "HC 61, BOX 416 QUAIL DRIVE",
            "city": "GLENWOOD",
            "state": "NM",
            "postal_code": "88039",
            "telephone_number": "505-539-2227",
            "fax_number": "505-539-2225"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ANGELWINGS COORDINATED CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-11",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "BEATY",
        "authorized_official_first_name": "SHARON",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "505-539-2227"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "42284091",
            "state": "NM"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "53908325",
            "state": "NM"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Judith M Safford, LMT

• Home Health Agency in Glenwood, NM
• Providers in Glenwood, NM by specialty
• Home Health Agency in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.