Individual provider Active NPI

Angela J Encarnacion, CSA

  • In Home Supportive Care Agency
  • San Mateo, CA
National Provider Identifier
1265778583
Registry record updated Dec 13, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
Practice address
1730 S Amphlett Blvd
Suite 111
San Mateo, CA 94402-2707
Phone
(650) 539-3700
Fax
(650) 227-2270
NPI assigned
Dec 13, 2012
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 13, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
In Home Supportive Care Agency 253Z00000X Primary

Addresses

Primary practice location

1730 S Amphlett Blvd
Suite 111
San Mateo, CA 94402-2707

Mailing address

1730 S Amphlett Blvd
Suite 111
San Mateo, CA 94402-2707
Phone (650) 539-3700

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
We Assist LLC In Home Supportive Care Past Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1355356800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1355356800000",
    "number": "1265778583",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1730 S AMPHLETT BLVD",
            "address_2": "SUITE 111",
            "city": "SAN MATEO",
            "state": "CA",
            "postal_code": "944022707",
            "telephone_number": "650-539-3700",
            "fax_number": "650-227-2270"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1730 S AMPHLETT BLVD",
            "address_2": "SUITE 111",
            "city": "SAN MATEO",
            "state": "CA",
            "postal_code": "944022707",
            "telephone_number": "650-539-3700",
            "fax_number": "650-227-2270"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ENCARNACION",
        "first_name": "ANGELA",
        "middle_name": "J",
        "credential": "CSA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-12-13",
        "last_updated": "2012-12-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Mateo, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 13, 2012; 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.