Blue Angel Health Care Services, Inc

Primary specialty

Nursing Care AgencyTaxonomy code 251J00000X

License

653 Issued in FL

Legal business name

BLUE ANGEL HEALTH CARE SERVICES, INC

Practice address

1020 65TH CT E
Bradenton, FL 34208-6270

Phone

(941) 745-1503

Fax

(941) 750-9462

NPI assigned

Aug 28, 2007

Organization subpart

No

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

Authorized official

Name

Mary Sue Ann Sandoval

Title

Owner

Phone

(941) 745-1503

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1188259200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1188259200000",
    "number": "1508050113",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1020 65TH CT E",
            "city": "BRADENTON",
            "state": "FL",
            "postal_code": "342086270",
            "telephone_number": "941-745-1503",
            "fax_number": "941-750-9462"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1020 65TH CT E",
            "city": "BRADENTON",
            "state": "FL",
            "postal_code": "342086270",
            "telephone_number": "941-745-1503",
            "fax_number": "941-750-9462"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BLUE ANGEL HEALTH CARE SERVICES, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-08-28",
        "last_updated": "2007-08-28",
        "status": "A",
        "authorized_official_last_name": "SANDOVAL",
        "authorized_official_first_name": "MARY SUE",
        "authorized_official_middle_name": "ANN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "941-745-1503"
    },
    "taxonomies": [
        {
            "code": "251J00000X",
            "taxonomy_group": "",
            "desc": "Nursing Care",
            "state": "FL",
            "license": "653",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Timothy Wayne Blend, MD
• Carla M Blethen, OTA
• Lori A. Blondell, P.T.
• Bloommind Behavioral Growth LLC
• Kimberly C Bloski
• Blue Door Spa and Salon Inc
• Blue Radiology Services LLC
• Blue Sky Anesthesia LLC
• Wendy Blumenthal, PHD
• Allison Blair Blunden, PA-C

• Nursing Care Agency in Bradenton, FL
• Providers in Bradenton, FL by specialty
• Nursing Care Agency in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 28, 2007; 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.