Primary Angel Inc.

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

License

009045 Issued in TX

Legal business name

PRIMARY ANGEL INC.

Practice address

14665 Midway Rd Ste 177
Addison, TX 75001-3921

Phone

(972) 233-1249

Fax

(972) 233-1261

NPI assigned

Mar 15, 2007

Organization subpart

No

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

Authorized official

Name

Mrs. Oliva Angeles Padilla

Title

Administrator

Phone

(972) 233-1249

Specialties & licenses 1

Addresses

Other names 1

• ESSENCE HOMEHEALTH Doing business as

Locations

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

{
    "created_epoch": "1173916800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1356475891",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14665 MIDWAY RD STE 177",
            "city": "ADDISON",
            "state": "TX",
            "postal_code": "750013921",
            "telephone_number": "972-233-1249",
            "fax_number": "972-233-1261"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14665 MIDWAY RD STE 177",
            "city": "ADDISON",
            "state": "TX",
            "postal_code": "750013921",
            "telephone_number": "972-233-1249",
            "fax_number": "972-233-1261"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRIMARY ANGEL INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-15",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "PADILLA",
        "authorized_official_first_name": "OLIVA",
        "authorized_official_middle_name": "ANGELES",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "972-233-1249",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "TX",
            "license": "009045",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "ESSENCE HOMEHEALTH",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Home Health Agency in Addison, TX
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• Home Health Agency in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 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.