Medangel Healthcare, LLC

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

License

5000002158 Issued in CA

Legal business name

MEDANGEL HEALTHCARE, LLC

Practice address

9245 Laguna Springs Dr
Suite 200
Elk Grove, CA 95758-7987

Phone

(916) 509-7068

NPI assigned

Apr 17, 2014

Organization subpart

No

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

Authorized official

Name

Gabriel McCrea

Title

Administrator

Phone

(916) 509-7068

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1397692800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1397692800000",
    "number": "1548680473",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 661528",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958661528",
            "telephone_number": "916-509-7068"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9245 LAGUNA SPRINGS DR",
            "address_2": "SUITE 200",
            "city": "ELK GROVE",
            "state": "CA",
            "postal_code": "957587987",
            "telephone_number": "916-509-7068"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEDANGEL HEALTHCARE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-04-17",
        "last_updated": "2014-04-17",
        "status": "A",
        "authorized_official_last_name": "MCCREA",
        "authorized_official_first_name": "GABRIEL",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "916-509-7068"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "CA",
            "license": "5000002158",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ryan McNeel
• Travis McNiff
• Kelly Lynn McPherson, M.ED.
• Patricia McVey
• MD Al Mamun DDS Inc
• Medi-Care Transport
• Medi-Le Medical Supplies, Inc
• Mario Medina Vazquez
• Celeste Medina
• Dominique Medina

• Home Health Agency in Elk Grove, CA
• Providers in Elk Grove, CA by specialty
• Home Health Agency in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 17, 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.