Active NPI
Angels at Heart Home Care LLC
- Home Health Agency
- Phoenix, AZ
National Provider Identifier
1285228536
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Agency
- Legal business name
- ANGELS AT HEART HOME CARE LLC
- Practice address
- 2828 N Central Ave
Phoenix, AZ 85004-1021 - Phone
- (414) 364-0730
- NPI assigned
- Feb 26, 2021
- 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
- Kyle Crawford
- Title
- Owner
- Phone
- (414) 243-9699
Specialties & licenses 5
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Agency | 251E00000X | Primary | ||
| Community Based Hospice Care Agency | 251G00000X | |||
| In Home Supportive Care Agency | 253Z00000X | |||
| Non-emergency Medical Transport (VAN) | 343900000X | |||
| Respite Care | 385H00000X |
Addresses
Primary practice location
2828 N Central Ave
Phoenix, AZ 85004-1021
Mailing address
12605 W North Ave Ste 118
Brookfield, WI 53005-4629
Phone (414) 364-0730
Other names 1
- Angels At Heart Home Care LLC
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | Phoenix | Health Information Exchange (HIE) |
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1614297600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1614297600000",
"number": "1285228536",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12605 W NORTH AVE STE 118",
"city": "BROOKFIELD",
"state": "WI",
"postal_code": "530054629",
"telephone_number": "414-364-0730"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2828 N CENTRAL AVE",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850041021",
"telephone_number": "414-364-0730"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ANGELS AT HEART HOME CARE LLC",
"organizational_subpart": "NO",
"enumeration_date": "2021-02-26",
"last_updated": "2021-02-26",
"certification_date": "2021-02-26",
"status": "A",
"authorized_official_last_name": "CRAWFORD",
"authorized_official_first_name": "KYLE",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "414-243-9699"
},
"taxonomies": [
{
"code": "251E00000X",
"taxonomy_group": "",
"desc": "Home Health",
"state": null,
"license": null,
"primary": true
},
{
"code": "251G00000X",
"taxonomy_group": "",
"desc": "Hospice Care, Community Based",
"state": null,
"license": null,
"primary": false
},
{
"code": "253Z00000X",
"taxonomy_group": "",
"desc": "In Home Supportive Care",
"state": null,
"license": null,
"primary": false
},
{
"code": "343900000X",
"taxonomy_group": "",
"desc": "Non-emergency Medical Transport (VAN)",
"state": null,
"license": null,
"primary": false
},
{
"code": "385H00000X",
"taxonomy_group": "",
"desc": "Respite Care",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "Phoenix",
"affiliation": "N",
"endpointDescription": "Practice location",
"use": "HIE",
"useDescription": "Health Information Exchange (HIE)",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "2828 N Central Ave, Phoeniz, AZ 85004-1021",
"address_1": "2828 N Central Ave",
"city": "Phoenix",
"state": "AZ",
"country_code": "US",
"postal_code": "850041021",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": [
{
"organization_name": "Angels At Heart Home Care LLC",
"code": "4",
"type": "Former Legal Business Name"
},
{
"organization_name": "Angels At Heart Home Care LLC",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Phoenix, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 26, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.