Angelical Hands Wound Care, LLC

Primary specialty

Licensed Practical NurseTaxonomy code 164W00000X

Legal business name

ANGELICAL HANDS WOUND CARE, LLC

Practice address

6451 Diversey St
Detroit, MI 48210-1151

Phone

(313) 899-0092

NPI assigned

Apr 9, 2024

Last updated

Apr 9, 2024By 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

Sabrina Nicole Green-Barksdale, LPN, SWOCNPI 1417730847

Title

Owner/Nurse

Phone

(313) 899-0092

Specialties & licenses 1

Addresses

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.

• Sabrina Nicole Green-Barksdale, LPN

  • Licensed Practical Nurse
  • Detroit, MI
  • NPI 1417730847
  NPD Authorized official

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

{
    "created_epoch": "1712620800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1712620800000",
    "number": "1407609399",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14231 AUBURN ST",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482232894",
            "telephone_number": "313-899-0092"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6451 DIVERSEY ST",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482101151",
            "telephone_number": "313-899-0092"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ANGELICAL HANDS WOUND CARE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-04-09",
        "last_updated": "2024-04-09",
        "certification_date": "2024-04-09",
        "status": "A",
        "authorized_official_last_name": "GREEN-BARKSDALE",
        "authorized_official_first_name": "SABRINA",
        "authorized_official_middle_name": "NICOLE",
        "authorized_official_title_or_position": "OWNER/NURSE",
        "authorized_official_telephone_number": "313-899-0092",
        "authorized_official_credential": "LPN, SWOC"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Licensed Practical Nurse",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Mary Lu Angelilli, MD
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• Meredith Angelinas
• Kaylee Angelito
• Angels Helping Hands

• Licensed Practical Nurse in Detroit, MI
• Providers in Detroit, MI by specialty
• Licensed Practical Nurse in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 9, 2024; 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.