Angel Watch Home Care, Inc.

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Legal business name

ANGEL WATCH HOME CARE, INC.

Doing business as

Angel Watch, an Amedisys Company

Practice address

1869 S 8TH St Ste B
Fernandina Beach, FL 32034-3072

Phone

(904) 491-3222

Fax

(904) 775-5982

NPI assigned

Nov 6, 2017

Organization subpart

No

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

Authorized official

Name

Mr. Paul Kusserow

Title

President

Phone

(225) 292-2031

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Angel Watch, an Amedisys Company Doing business as

Locations

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

{
    "created_epoch": "1509926400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1555286400000",
    "number": "1457864076",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3854 AMERICAN WAY STE A",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "708164897",
            "telephone_number": "225-292-2031",
            "fax_number": "225-295-9678"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1869 S 8TH ST STE B",
            "city": "FERNANDINA BEACH",
            "state": "FL",
            "postal_code": "320343072",
            "telephone_number": "904-491-3222",
            "fax_number": "904-775-5982"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ANGEL WATCH HOME CARE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-11-06",
        "last_updated": "2019-04-15",
        "status": "A",
        "authorized_official_last_name": "KUSSEROW",
        "authorized_official_first_name": "PAUL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "225-292-2031",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "023362200",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Angel Watch, an Amedisys Company",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Christopher Albin Antczak, D.C.
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• Cassandra Astolis

• Home Health Agency in Fernandina Beach, FL
• Providers in Fernandina Beach, FL by specialty
• Home Health Agency in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 15, 2019; 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.