Angels of Light Home Care LLC,

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Legal business name

ANGELS OF LIGHT HOME CARE LLC,

Practice address

175 Capital Blvd FL 4
Rocky Hill, CT 06067-3914

Phone

(860) 890-3689

Fax

(959) 200-4101

NPI assigned

Aug 18, 2020

Last updated

Aug 18, 2020By the provider in NPPES

Organization subpart

Yes

Parent organization

ANGELS OF LIGHT HOME CARE SERVICESAs reported in NPPES

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

Authorized official

Name

Prof. N Candice Candice Katikati

Title

Principal

Phone

(860) 890-3689

Specialties & licenses 1

Addresses

Part of

Angels of Light Home Care LLC

Locations

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

{
    "created_epoch": "1597708800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1597708800000",
    "number": "1346852787",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "175 CAPITAL BLVD FL 4",
            "city": "ROCKY HILL",
            "state": "CT",
            "postal_code": "060673914",
            "telephone_number": "860-890-3689",
            "fax_number": "959-200-4101"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "175 CAPITAL BLVD FL 4",
            "city": "ROCKY HILL",
            "state": "CT",
            "postal_code": "060673914",
            "telephone_number": "860-890-3689",
            "fax_number": "959-200-4101"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ANGELS OF LIGHT HOME CARE LLC,",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "ANGELS OF LIGHT HOME CARE SERVICES",
        "enumeration_date": "2020-08-18",
        "last_updated": "2020-08-18",
        "certification_date": "2020-08-18",
        "status": "A",
        "authorized_official_last_name": "KATIKATI",
        "authorized_official_first_name": "N CANDICE",
        "authorized_official_middle_name": "CANDICE",
        "authorized_official_title_or_position": "PRINCIPAL",
        "authorized_official_telephone_number": "860-890-3689",
        "authorized_official_name_prefix": "Prof."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 18, 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.