Angeline Broad, RN

Primary specialty

Registered NurseTaxonomy code 163W00000X

License

436184 Issued in OH

Practice address

5151 Schuller Dr NE
Canton, OH 44705-3054

Phone

(234) 425-8849

NPI assigned

May 9, 2012

Last updated

Oct 11, 2023By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Nurse

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Action Home Care LLC

  • Home Health Agency
  • Canton, OH
  • NPI 1861273252
  NPD Authorized official

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

{
    "created_epoch": "1336521600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1696982400000",
    "number": "1619236759",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5151 SCHULLER DR NE",
            "city": "CANTON",
            "state": "OH",
            "postal_code": "447053054",
            "telephone_number": "234-425-8849"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5151 SCHULLER DR NE",
            "city": "CANTON",
            "state": "OH",
            "postal_code": "447053054",
            "telephone_number": "234-425-8849"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BROAD",
        "first_name": "ANGELINE",
        "credential": "RN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-05-09",
        "last_updated": "2023-10-11",
        "certification_date": "2023-10-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "OH",
            "license": "436184",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Shante Brisker, CDCA
• Laura J. Brison, APRN.CNP
• Evelyn C Brister, MD
• Janine Patrice Britt
• Kendra M Britzman
• Alanah Olivia Brogan
• Heather Brogan, M.A.
• Robert Broida
• Lisa Brokaw, CRNA
• Brookdale Senior Living Communities Inc (Brookdale Canton)

• Registered Nurse in Canton, OH
• Providers in Canton, OH by specialty
• Registered Nurse in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 11, 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.