Organization Active NPI

Diana'S Angels Home Care, Inc

  • Home Health Agency
  • Mount Vernon, NY
National Provider Identifier
1407307168
Registry record updated Oct 18, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
1696L001 Issued in NY
Legal business name
DIANA'S ANGELS HOME CARE, INC
Practice address
136 Stevens Ave
Mount Vernon, NY 10550-2604
Phone
(914) 664-3161
Fax
(914) 664-3162
NPI assigned
Oct 18, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 18, 2016

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

Authorized official

Name
Ms. Drita Djeljevic
Title
Owner
Phone
(914) 664-3161

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X 1696L001 NY Primary

Addresses

Primary practice location

136 Stevens Ave
Mount Vernon, NY 10550-2604

Mailing address

136 Stevens Ave
Mount Vernon, NY 10550-2604
Phone (914) 664-3161

Other identifiers 1

IdentifierTypeStateIssuer
03877254MedicaidNY

National Provider Directory

National Provider Directory
Tax ID family
Diana'S Angels Home Care Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

Locations

136 Stevens Ave
Mount Vernon, NY 10550
Phone (914) 664-3161

Practitioners & affiliated clinicians

Practitioners 1

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": "1476748800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1476748800000",
    "number": "1407307168",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "136 STEVENS AVE",
            "city": "MOUNT VERNON",
            "state": "NY",
            "postal_code": "105502604",
            "telephone_number": "914-664-3161",
            "fax_number": "914-664-3162"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "136 STEVENS AVE",
            "city": "MOUNT VERNON",
            "state": "NY",
            "postal_code": "105502604",
            "telephone_number": "914-664-3161",
            "fax_number": "914-664-3162"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DIANA'S ANGELS HOME CARE, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-10-18",
        "last_updated": "2016-10-18",
        "status": "A",
        "authorized_official_last_name": "DJELJEVIC",
        "authorized_official_first_name": "DRITA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "914-664-3161",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "NY",
            "license": "1696L001",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "03877254",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Mount Vernon, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 18, 2016; 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.