Angoria Consulting Management

Primary specialty

Community Health WorkerTaxonomy code 172V00000X

Legal business name

ANGORIA CONSULTING MANAGEMENT

Practice address

1382 Sequoia Rd NW
Palm Bay, FL 32907-2780

Phone

(612) 366-6964

Fax

(866) 877-4469

NPI assigned

Apr 3, 2020

Organization subpart

No

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

Authorized official

Name

Sacha Sam, PTIN, ACCOUNTANT

Title

Owner

Phone

(612) 366-6964

Specialties & licenses 1

Addresses

Electronic endpoints 1

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

{
    "created_epoch": "1585872000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1585872000000",
    "number": "1316576192",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1382 SEQUOIA RD NW",
            "city": "PALM BAY",
            "state": "FL",
            "postal_code": "329072780",
            "telephone_number": "612-366-6964",
            "fax_number": "866-877-4469"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1382 SEQUOIA RD NW",
            "city": "PALM BAY",
            "state": "FL",
            "postal_code": "329072780",
            "telephone_number": "612-366-6964",
            "fax_number": "866-877-4469"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ANGORIA CONSULTING MANAGEMENT",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-04-03",
        "last_updated": "2020-04-03",
        "certification_date": "2020-04-03",
        "status": "A",
        "authorized_official_last_name": "SAM",
        "authorized_official_first_name": "SACHA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "612-366-6964",
        "authorized_official_credential": "PTIN, ACCOUNTANT"
    },
    "taxonomies": [
        {
            "code": "172V00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Community Health Worker",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "angoriateam@gmail.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Palm Bay",
            "address_1": "1382 Sequoia Rd NW",
            "city": "Palm Bay",
            "state": "FL",
            "country_code": "US",
            "postal_code": "329072780",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 3, 2020; 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.