Organization Active NPI

Angel's Home Care

  • Home Health Agency
  • Mount Gilead, OH
National Provider Identifier
1265969034
Registry record updated Mar 11, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
ANGEL'S HOME CARE
Practice address
4440 State Route 61
Mount Gilead, OH 43338-9781
Phone
(419) 947-9373
Fax
(419) 947-9374
NPI assigned
May 11, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 11, 2022

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

Authorized official

Name
Mary EckardNPI 1235887878
Title
Ceo
Phone
(419) 947-9373

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
Home Health Agency 251E00000X OH Primary

Addresses

Primary practice location

4440 State Route 61
Mount Gilead, OH 43338-9781

Mailing address

4440 State Route 61
Mount Gilead, OH 43338-9781
Phone (419) 947-9373

Other identifiers 1

IdentifierTypeStateIssuer
2954290MedicaidOH

National Provider Directory

National Provider Directory

Locations

4440 State Route 61
Mount Gilead, OH 43338
Phone (419) 947-9373

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": "1494460800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1646956800000",
    "number": "1265969034",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4440 STATE ROUTE 61",
            "city": "MOUNT GILEAD",
            "state": "OH",
            "postal_code": "433389781",
            "telephone_number": "419-947-9373",
            "fax_number": "419-947-9374"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4440 STATE ROUTE 61",
            "city": "MOUNT GILEAD",
            "state": "OH",
            "postal_code": "433389781",
            "telephone_number": "419-947-9373",
            "fax_number": "419-947-9374"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ANGEL'S HOME CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-05-11",
        "last_updated": "2022-03-11",
        "certification_date": "2022-03-11",
        "status": "A",
        "authorized_official_last_name": "ECKARD",
        "authorized_official_first_name": "MARY",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "419-947-9373"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "OH",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2954290",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Mount Gilead, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 11, 2022; 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.