Angelic Home Care Inc.

Primary specialty

In Home Supportive Care AgencyTaxonomy code 253Z00000X

License

84718 Issued in MD

Legal business name

ANGELIC HOME CARE INC.

Practice address

4670 Williams Wharf Rd
Saint Leonard, MD 20685-3044

Phone

(301) 618-9223

Fax

(443) 295-7814

NPI assigned

Jul 23, 2009

Organization subpart

No

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

Authorized official

Name

Mr. Robert Terry Graham

Title

Ceo

Phone

(301) 618-9223

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1248307200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1248652800000",
    "number": "1265662357",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4670 WILLIAMS WHARF RD",
            "city": "SAINT LEONARD",
            "state": "MD",
            "postal_code": "206853044",
            "telephone_number": "301-618-9223",
            "fax_number": "443-295-7814"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4670 WILLIAMS WHARF RD",
            "city": "SAINT LEONARD",
            "state": "MD",
            "postal_code": "206853044",
            "telephone_number": "301-618-9223",
            "fax_number": "443-295-7814"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ANGELIC HOME CARE INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-07-23",
        "last_updated": "2009-07-27",
        "status": "A",
        "authorized_official_last_name": "GRAHAM",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "TERRY",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "301-618-9223",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": "MD",
            "license": "84718",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 27, 2009; 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.