Organization Active NPI

Angelic Touch Home Care

  • In Home Supportive Care Agency
  • Shelby TWP, MI
National Provider Identifier
1508648395
Registry record updated Oct 24, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
Legal business name
ANGELIC TOUCH HOME CARE
Practice address
47380 Bobwhite LN
Shelby TWP, MI 48315-4827
Phone
(586) 604-1315
NPI assigned
Oct 17, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 24, 2023

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

Authorized official

Name
Fidae Jamoua
Title
President
Phone
(586) 604-1315

Specialties & licenses 1

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

Addresses

Primary practice location

47380 Bobwhite LN
Shelby TWP, MI 48315-4827

Mailing address

47380 Bobwhite LN
Shelby TWP, MI 48315-4827
Phone (586) 604-1315

Other names 1

  • Angelic Touch Home Care Former legal business name

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1697500800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1698105600000",
    "number": "1508648395",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "47380 BOBWHITE LN",
            "city": "SHELBY TWP",
            "state": "MI",
            "postal_code": "483154827",
            "telephone_number": "586-604-1315"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "47380 BOBWHITE LN",
            "city": "SHELBY TWP",
            "state": "MI",
            "postal_code": "483154827",
            "telephone_number": "586-604-1315"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ANGELIC TOUCH HOME CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-10-17",
        "last_updated": "2023-10-24",
        "certification_date": "2023-10-24",
        "status": "A",
        "authorized_official_last_name": "JAMOUA",
        "authorized_official_first_name": "FIDAE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "586-604-1315"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Angelic Touch Home Care",
            "code": "4",
            "type": "Former Legal Business Name"
        },
        {
            "organization_name": "Angelic Touch Home Care",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Shelby TWP, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 24, 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.