A.N.G.E.L.S. Home Health Inc.

Primary specialty

In Home Supportive Care AgencyTaxonomy code 253Z00000X

Legal business name

A.N.G.E.L.S. HOME HEALTH INC.

Practice address

307 N Main Street
Elkader, IA 52043-0923

Phone

(563) 245-3635

Fax

(563) 245-3634

NPI assigned

May 27, 2014

Last updated

May 27, 2014By 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

Mr. Brian Keith Koth

Title

Chief Executive Officer

Phone

(563) 245-3635

Specialties & licenses 3

Addresses

Other identifiers 1

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

{
    "created_epoch": "1401148800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1401148800000",
    "number": "1508278441",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "307 N MAIN STREET",
            "address_2": "PO BOX 923",
            "city": "ELKADER",
            "state": "IA",
            "postal_code": "520430923",
            "telephone_number": "563-245-3635",
            "fax_number": "563-245-3634"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "307 N MAIN STREET",
            "city": "ELKADER",
            "state": "IA",
            "postal_code": "520430923",
            "telephone_number": "563-245-3635",
            "fax_number": "563-245-3634"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "A.N.G.E.L.S. HOME HEALTH INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-05-27",
        "last_updated": "2014-05-27",
        "status": "A",
        "authorized_official_last_name": "KOTH",
        "authorized_official_first_name": "BRIAN",
        "authorized_official_middle_name": "KEITH",
        "authorized_official_title_or_position": "CHIEF EXECUTIVE OFFICER",
        "authorized_official_telephone_number": "563-245-3635",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251V00000X",
            "taxonomy_group": "",
            "desc": "Voluntary or Charitable",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0700770",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Area Education Agency 1
• Area Education Agency No 1 of Iowa
• Rachel Beck, LMSW
• Barbara L Berns, ARNP
• Central Community Hospital (MercyOne Elkader Medical Center)

• In Home Supportive Care Agency in Elkader, IA
• Providers in Elkader, IA by specialty
• In Home Supportive Care Agency in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 27, 2014; 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.