Aging Angels LLC

Key facts

NPI

1295027779

Entity type

Organization (NPI type 2)

Primary specialty

In Home Supportive Care Agency 253Z00000X

License

1997208 (IL)

Legal business name

AGING ANGELS LLC

Practice address

2585 Sycamore Rd
Dekalb, IL 60115-2051

Phone

(815) 754-1300

Fax

(815) 754-1500

NPI assigned

May 3, 2011

Organization subpart

No

Authorized official

Name

Mr. Wayne R Slagle

Title

Owner

Phone

(815) 754-1300

National Provider Directory

Locations

Specialties & licenses

Addresses

Other names

• Home Instead Senior Care Doing business as

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on May 3, 2011.

{
    "created_epoch": "1304380800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1304380800000",
    "number": "1295027779",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2585 SYCAMORE RD",
            "city": "DEKALB",
            "state": "IL",
            "postal_code": "601152051",
            "telephone_number": "815-754-1300",
            "fax_number": "815-754-1500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2585 SYCAMORE RD",
            "city": "DEKALB",
            "state": "IL",
            "postal_code": "601152051",
            "telephone_number": "815-754-1300",
            "fax_number": "815-754-1500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AGING ANGELS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-05-03",
        "last_updated": "2011-05-03",
        "status": "A",
        "authorized_official_last_name": "SLAGLE",
        "authorized_official_first_name": "WAYNE",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "815-754-1300",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": "IL",
            "license": "1997208",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Home Instead Senior Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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All providers in Dekalb, IL · In Home Supportive Care Agency in Illinois