Organization Active NPI

Angel Supportive Care, LLC

Doing business as Visiting Angels of West MI

  • Home Health Agency
  • Grand Rapids, MI
National Provider Identifier
1558553545
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
ANGEL SUPPORTIVE CARE, LLC
Doing business as
Visiting Angels of West MI
Practice address
1514 Wealthy St SE
Suite 270
Grand Rapids, MI 49506-2755
Phone
(616) 243-7080
Fax
(616) 988-0171
NPI assigned
Aug 14, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Authorized official

Name
Ms. Patricia L Borgdorff, MSW, ACSW
Title
Owner/Director
Phone
(616) 243-7080

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X MI Primary

Addresses

Primary practice location

1514 Wealthy St SE
Suite 270
Grand Rapids, MI 49506-2755

Mailing address

1514 Wealthy St SE
Suite 270
Grand Rapids, MI 49506-2755
Phone (616) 243-7080

Other names 1

  • Visiting Angels of West MI Doing business as

National Provider Directory

National Provider Directory

Locations

1514 Wealthy St SE
Ste 270
Grand Rapids, MI 49506
Phone (616) 243-7080

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1187049600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1558553545",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1514 WEALTHY ST SE",
            "address_2": "SUITE 270",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495062755",
            "telephone_number": "616-243-7080",
            "fax_number": "616-988-0171"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1514 WEALTHY ST SE",
            "address_2": "SUITE 270",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495062755",
            "telephone_number": "616-243-7080",
            "fax_number": "616-988-0171"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ANGEL SUPPORTIVE CARE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-08-14",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "BORGDORFF",
        "authorized_official_first_name": "PATRICIA",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "OWNER/DIRECTOR",
        "authorized_official_telephone_number": "616-243-7080",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "MSW, ACSW"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "MI",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Visiting Angels of West MI",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Grand Rapids, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.