Active NPI
Angelic Care Living LLC
- In Home Supportive Care Agency
- Millville, NJ
National Provider Identifier
1235843384
On this page
Key facts
NPPES NPI Registry- Primary specialty
- In Home Supportive Care Agency
- Legal business name
- ANGELIC CARE LIVING LLC
- Doing business as
- Angelic Care Living LLC
- Practice address
- 207 Bogden Blvd Ste H
Millville, NJ 08332-4844 - Phone
- (856) 329-9619
- Fax
- (856) 329-9908
- NPI assigned
- Jan 12, 2023
- Last updated
- Jun 14, 2023
- 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
- Mrs. Corlene Ann Roxanne London
- Title
- Executive Officer
- Phone
- (856) 329-9619
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| In Home Supportive Care Agency | 253Z00000X | Primary |
Addresses
Primary practice location
207 Bogden Blvd Ste H
Millville, NJ 08332-4844
Mailing address
207 Bogden Blvd
Millville, NJ 08332-4844
Phone (856) 329-9619
Other names 1
- ANGELIC CARE LIVING LLC
National Provider Directory
National Provider DirectoryLocations
207 Bogden Blvd
Ste H
Millville, NJ 08332
Phone (856) 329-9619
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Home Health Aide
- Millville, NJ
- NPI 1992417646
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1673481600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1686700800000",
"number": "1235843384",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "207 BOGDEN BLVD",
"city": "MILLVILLE",
"state": "NJ",
"postal_code": "083324844",
"telephone_number": "856-329-9619",
"fax_number": "856-329-9908"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "207 BOGDEN BLVD STE H",
"city": "MILLVILLE",
"state": "NJ",
"postal_code": "083324844",
"telephone_number": "856-329-9619",
"fax_number": "856-329-9908"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ANGELIC CARE LIVING LLC",
"organizational_subpart": "NO",
"enumeration_date": "2023-01-12",
"last_updated": "2023-06-14",
"certification_date": "2023-06-14",
"status": "A",
"authorized_official_last_name": "LONDON",
"authorized_official_first_name": "CORLENE",
"authorized_official_middle_name": "ANN ROXANNE",
"authorized_official_title_or_position": "EXECUTIVE OFFICER",
"authorized_official_telephone_number": "856-329-9619",
"authorized_official_name_prefix": "Mrs."
},
"taxonomies": [
{
"code": "253Z00000X",
"taxonomy_group": "",
"desc": "In Home Supportive Care",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "ANGELIC CARE LIVING LLC",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "ANGELIC CARE LIVING LLC",
"code": "3",
"type": "Doing Business As"
}
]
}
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- Assumpta N Anyanwu
- Jeffrey Asao, DMD
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- Juanita Aviles-Childers
- Kara Ann Battersby, OT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 14, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.