Angels Crossing Hospice and Home Health

Primary specialty

Hospice and Palliative Medicine (Surgery) PhysicianTaxonomy code 2086H0002X

Legal business name

ANGELS CROSSING HOSPICE AND HOME HEALTH

Practice address

998074. Tafuna VI.
Pago Pago, AS 96799

Phone

(684) 254-7940

NPI assigned

Jan 4, 2019

Last updated

Jan 4, 2019By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Sione Tavake

Title

Shareholder

Phone

(801) 916-0918

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• William J Selfridge Jr., LCSW

  • Clinical Social Worker
  • Salt Lake City, UT
  • NPI 1821349739
  NPD (past)

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

{
    "created_epoch": "1546560000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1546560000000",
    "number": "1366915100",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2480 S MAIN ST STE 205",
            "city": "SOUTH SALT LAKE",
            "state": "UT",
            "postal_code": "841155005",
            "telephone_number": "801-916-0918",
            "fax_number": "801-485-3750"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "998074. TAFUNA VI.",
            "city": "PAGO PAGO",
            "state": "AS",
            "postal_code": "96799",
            "telephone_number": "684-254-7940"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ANGELS CROSSING HOSPICE AND HOME HEALTH",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-01-04",
        "last_updated": "2019-01-04",
        "status": "A",
        "authorized_official_last_name": "TAVAKE",
        "authorized_official_first_name": "SIONE",
        "authorized_official_title_or_position": "SHAREHOLDER",
        "authorized_official_telephone_number": "801-916-0918"
    },
    "taxonomies": [
        {
            "code": "2086H0002X",
            "taxonomy_group": "",
            "desc": "Surgery, Hospice and Palliative Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• American Samoa Tropical Medical Center (LBJ TMC)
• American Samoa Tropical Medical Center (LBJ Tropical Medical Center)
• Jean Anderson, PSYD
• Aloiamoa Anesi, MBCHB
• Tikeri Noel Anesi, MBBS
• Argel Aragon, MD
• Mary Rose Aragon, MD
• Gloria Avalos
• Bessie Ayala, MD
• Miliakere Baleilevuka, MBBS

• Surgery Physician in Pago Pago, AS
• Providers in Pago Pago, AS by specialty
• Surgery Physician in American Samoa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 4, 2019; 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.