Organization Active NPI

Angelic Care Living LLC

  • In Home Supportive Care Agency
  • Millville, NJ
National Provider Identifier
1235843384
Registry record updated Jun 14, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
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, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 14, 2023

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

Authorized official

Name
Mrs. Corlene Ann Roxanne LondonNPI 1992417646
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)CodeLicenseStatePrimary
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 Doing business as

National Provider Directory

National Provider Directory

Locations

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.

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"
        }
    ]
}

Other providers in Millville, NJ

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.

Verify at the official NPI Registry.