Organization Active NPI

Bay Area Angels Home Care

  • In Home Supportive Care Agency
  • Brentwood, CA
National Provider Identifier
1467139303
Registry record updated Jul 3, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
Legal business name
BAY AREA ANGELS HOME CARE
Doing business as
Bay Area Angels Home Care
Practice address
581 Eileen St
Brentwood, CA 94513-1569
Phone
(925) 684-7341
NPI assigned
Jul 3, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 3, 2023

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

Authorized official

Name
Ms. Carol R Wilson, RN
Title
Administrator
Phone
(407) 721-7922

Specialties & licenses 1

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

Addresses

Primary practice location

581 Eileen St
Brentwood, CA 94513-1569

Mailing address

581 Eileen St
Brentwood, CA 94513-1569
Phone (925) 684-7341

Other names 1

  • Bay Area Angels Home Care Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1688342400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1688342400000",
    "number": "1467139303",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "581 EILEEN ST",
            "city": "BRENTWOOD",
            "state": "CA",
            "postal_code": "945131569",
            "telephone_number": "925-684-7341"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "581 EILEEN ST",
            "city": "BRENTWOOD",
            "state": "CA",
            "postal_code": "945131569",
            "telephone_number": "925-684-7341"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BAY AREA ANGELS HOME CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-07-03",
        "last_updated": "2023-07-03",
        "certification_date": "2023-07-02",
        "status": "A",
        "authorized_official_last_name": "WILSON",
        "authorized_official_first_name": "CAROL",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "407-721-7922",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Bay Area Angels Home Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Brentwood, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 3, 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.