Active NPI
Angels on Wheels
- Home Health Agency
- Keego Harbor, MI
National Provider Identifier
1366729303
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Agency
- Legal business name
- ANGELS ON WHEELS
- Practice address
- 2804 Orchard Lake Rd
Sutie 204 B
Keego Harbor, MI 48320-1449 - Phone
- (248) 773-1640
- NPI assigned
- Nov 4, 2011
- Last updated
- Nov 4, 2011
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Miss Ieisha L Hussain
- Title
- Owner
- Phone
- (248) 773-1640
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Agency | 251E00000X | D63483 | MI | |
| Home Health Agency | 251E00000X | MI | Primary | |
| In Home Supportive Care Agency | 253Z00000X | D63483 | MI |
Addresses
Primary practice location
2804 Orchard Lake Rd
Sutie 204 B
Keego Harbor, MI 48320-1449
Mailing address
2804 Orchard LK Rd.
Sutie 204 B
Keego Harbor, MI 48320
Phone (248) 773-1640
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1320364800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1320364800000",
"number": "1366729303",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2804 ORCHARD LK RD.",
"address_2": "SUTIE 204 B",
"city": "KEEGO HARBOR",
"state": "MI",
"postal_code": "48320",
"telephone_number": "248-773-1640"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2804 ORCHARD LAKE RD",
"address_2": "SUTIE 204 B",
"city": "KEEGO HARBOR",
"state": "MI",
"postal_code": "483201449",
"telephone_number": "248-773-1640"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ANGELS ON WHEELS",
"organizational_subpart": "NO",
"enumeration_date": "2011-11-04",
"last_updated": "2011-11-04",
"status": "A",
"authorized_official_last_name": "HUSSAIN",
"authorized_official_first_name": "IEISHA",
"authorized_official_middle_name": "L",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "248-773-1640",
"authorized_official_name_prefix": "Miss"
},
"taxonomies": [
{
"code": "251E00000X",
"taxonomy_group": "",
"desc": "Home Health",
"state": "MI",
"license": "D63483",
"primary": false
},
{
"code": "251E00000X",
"taxonomy_group": "",
"desc": "Home Health",
"state": "MI",
"license": null,
"primary": true
},
{
"code": "253Z00000X",
"taxonomy_group": "",
"desc": "In Home Supportive Care",
"state": "MI",
"license": "D63483",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Keego Harbor, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 4, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.