McAngel Home Visiting Nurses LLC

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Legal business name

MCANGEL HOME VISITING NURSES LLC

Practice address

60 Washington Ave Ste 105
Hamden, CT 06518-3272

Phone

(203) 691-6092

Fax

(203) 486-8359

NPI assigned

Jul 5, 2019

Last updated

Nov 4, 2023By 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

Mark Berko

Title

Managing Partner

Phone

(301) 605-3467

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CT

Enrollment records 1

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1376105767. Details of each certification follow.

• CCN 077277 Home health agency · Active · Details

Home health agency certification: CCN 077277

Legal name

MCANGEL HOME VISITING NURSES LLC

Certification status

Active

Provider type (POS)

Home health agency

Participating since

Jun 10, 2021

Last certification

Jun 10, 2021

Ownership / control type

Proprietary

Organization structure

LLCProprietary

Incorporated

Dec 14, 2017 in CT

Enrollment address

60 Washington Ave
Ste 105
Hamden, CT 06518-3272
HHA Branch

Listed as

McAngel Home Visiting Nurses, LLCCCN 077277 · All quality measures

Overall star rating

3 of 5

Ownership

Proprietary

Certified

Jun 10, 2021

Medicare certification status

ActiveFrom the Provider of Services file

Services

Nursing, Home health aide, Physical therapy, Speech pathology, Occupational therapy

Locations

All disclosed owners & managing parties 3

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

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.

• Amauche Obi-Eyisi

  • Women's Health Nurse Practitioner
  • Austin, TX
  • NPI 1669082509
  NPD

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

{
    "created_epoch": "1562284800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1699056000000",
    "number": "1376105767",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "60 WASHINGTON AVE STE 105",
            "city": "HAMDEN",
            "state": "CT",
            "postal_code": "065183272",
            "telephone_number": "203-691-6092",
            "fax_number": "203-486-8359"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "60 WASHINGTON AVE STE 105",
            "city": "HAMDEN",
            "state": "CT",
            "postal_code": "065183272",
            "telephone_number": "203-691-6092",
            "fax_number": "203-486-8359"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MCANGEL HOME VISITING NURSES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-07-05",
        "last_updated": "2023-11-04",
        "certification_date": "2023-11-04",
        "status": "A",
        "authorized_official_last_name": "BERKO",
        "authorized_official_first_name": "MARK",
        "authorized_official_title_or_position": "MANAGING PARTNER",
        "authorized_official_telephone_number": "301-605-3467"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Maxi Drug Inc (Rite Aid Pharmacy 10375)
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• Julianne M Mayers, DPT
• MC Counseling and Wellness, LLC
• McAngel Home Aides and Companion
• John T McCarthy, PHARM D.
• Kathleen McCarthy, COTA/L
• Kristen McConnell
• Ashley Lauryn McCray, LCSW
• Marilyn Faye McCreary

• Home Health Agency in Hamden, CT
• Providers in Hamden, CT by specialty
• Home Health Agency in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 4, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.