NPIMap

Organization Active NPI

Hands of Angels Healthcare Agency LLC

  • In Home Supportive Care Agency
  • Irvington, NJ
National Provider Identifier
1407214372
Registry record updated Apr 20, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
Legal business name
HANDS OF ANGELS HEALTHCARE AGENCY LLC
Practice address
50 Union Ave Ste 503
Irvington, NJ 07111-3292
Phone
(973) 900-9021
Fax
(973) 416-1009
NPI assigned
Feb 5, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 20, 2023

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

Authorized official

Name
Mr. Erainer Odom
Title
Owner
Phone
(973) 900-9021

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X
In Home Supportive Care Agency 253Z00000X Primary

Addresses

Primary practice location

50 Union Ave Ste 503
Irvington, NJ 07111-3292

Mailing address

50 Union Ave Ste 503
Irvington, NJ 07111-3292
Phone (973) 900-9021

National Provider Directory

National Provider Directory
Tax ID family
Hands of Angels Healthcare Agencyllc3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

Locations

626 Central Ave
Ste 1
East Orange, NJ 07018
Phone (973) 678-4263

50 Union Ave
Ste 503
Irvington, NJ 07111
Phone (973) 900-9021

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1454630400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1681948800000",
    "number": "1407214372",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "50 UNION AVE STE 503",
            "city": "IRVINGTON",
            "state": "NJ",
            "postal_code": "071113292",
            "telephone_number": "973-900-9021",
            "fax_number": "973-416-1009"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "50 UNION AVE STE 503",
            "city": "IRVINGTON",
            "state": "NJ",
            "postal_code": "071113292",
            "telephone_number": "973-900-9021",
            "fax_number": "973-416-1009"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HANDS OF ANGELS HEALTHCARE AGENCY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-02-05",
        "last_updated": "2023-04-20",
        "certification_date": "2023-04-20",
        "status": "A",
        "authorized_official_last_name": "ODOM",
        "authorized_official_first_name": "ERAINER",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "973-900-9021",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Irvington, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 2023; 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.