Active NPI
Angel Care Services
- Home Health Agency
- Anchorage, AK
National Provider Identifier
1386771467
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Agency
- License
- 436238
- Legal business name
- ANGEL CARE SERVICES
- Practice address
- 401 West Fireweed Lane
Anchorage, AK 99503-1926 - Phone
- (907) 569-1004
- Fax
- (907) 569-5004
- NPI assigned
- Feb 27, 2007
- Last updated
- Jul 16, 2008
- 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
- Mrs. Lora Kim Lee
- Title
- Office Manager
- Phone
- (907) 569-1004
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Agency | 251E00000X | 436238 | AK | Primary |
Addresses
Primary practice location
401 West Fireweed Lane
Anchorage, AK 99503-1926
Mailing address
401 West Fireweed Lane
Anchorage, AK 99503-1926
Phone (907) 569-1004
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| PCG881 | Medicaid | AK |
National Provider Directory
National Provider DirectoryLocations
401 W Fireweed LN
Anchorage, AK 99503
Phone (907) 569-1004
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1172534400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1216166400000",
"number": "1386771467",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "401 WEST FIREWEED LANE",
"city": "ANCHORAGE",
"state": "AK",
"postal_code": "995031926",
"telephone_number": "907-569-1004",
"fax_number": "907-569-5004"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "401 WEST FIREWEED LANE",
"city": "ANCHORAGE",
"state": "AK",
"postal_code": "995031926",
"telephone_number": "907-569-1004",
"fax_number": "907-569-5004"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ANGEL CARE SERVICES",
"organizational_subpart": "NO",
"enumeration_date": "2007-02-27",
"last_updated": "2008-07-16",
"status": "A",
"authorized_official_last_name": "LEE",
"authorized_official_first_name": "LORA",
"authorized_official_middle_name": "KIM",
"authorized_official_title_or_position": "OFFICE MANAGER",
"authorized_official_telephone_number": "907-569-1004",
"authorized_official_name_prefix": "Mrs."
},
"taxonomies": [
{
"code": "251E00000X",
"taxonomy_group": "",
"desc": "Home Health",
"state": "AK",
"license": "436238",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "PCG881",
"state": "AK"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Anchorage, AK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 16, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.