Organization Active NPI

Maggies Angels

  • In Home Supportive Care Agency
  • San Diego, CA
National Provider Identifier
1346057890
Registry record updated Dec 17, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
Legal business name
MAGGIES ANGELS
Doing business as
Maggie's Angels
Practice address
2715 A St Apt 3
San Diego, CA 92102-1067
Phone
(619) 738-4640
NPI assigned
Dec 17, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 17, 2024

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

Authorized official

Name
Tsion Besufekad
Title
Managing Director
Phone
(619) 754-0171

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X
In Home Supportive Care Agency 253Z00000X Primary

Addresses

Primary practice location

2715 A St Apt 3
San Diego, CA 92102-1067

Mailing address

2715 A St Apt 3
San Diego, CA 92102-1067
Phone (619) 738-4640

Other identifiers 1

IdentifierTypeStateIssuer
374700384OtherCAHCO LICENSE NUMBER

Other names 1

  • Maggie's Angels Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1734393600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1734393600000",
    "number": "1346057890",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2715 A ST APT 3",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921021067",
            "telephone_number": "619-738-4640"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2715 A ST APT 3",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921021067",
            "telephone_number": "619-738-4640"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAGGIES ANGELS",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-12-17",
        "last_updated": "2024-12-17",
        "certification_date": "2024-12-17",
        "status": "A",
        "authorized_official_last_name": "BESUFEKAD",
        "authorized_official_first_name": "TSION",
        "authorized_official_title_or_position": "MANAGING DIRECTOR",
        "authorized_official_telephone_number": "619-754-0171"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HCO LICENSE NUMBER",
            "identifier": "374700384",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Maggie's Angels",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in San Diego, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 17, 2024; 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.