Angelica, Inc.

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

License

HC7567 Issued in OK

Legal business name

ANGELICA, INC.

Doing business as

Advanced HomeCare Services

Practice address

1101 E Loomis Rd
Weatherford, OK 73096-3318

Phone

(580) 772-1003

Fax

(580) 772-0298

NPI assigned

Jun 27, 2005

Last updated

Sep 3, 2010By 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

Mrs. Anita J Merida

Title

Owner

Phone

(580) 772-1003

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• Advanced HomeCare Services Doing business as

Locations

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

{
    "created_epoch": "1119830400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1283472000000",
    "number": "1629074430",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 401",
            "city": "WEATHERFORD",
            "state": "OK",
            "postal_code": "730960401",
            "telephone_number": "580-772-1003",
            "fax_number": "580-772-0298"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1101 E LOOMIS RD",
            "city": "WEATHERFORD",
            "state": "OK",
            "postal_code": "730963318",
            "telephone_number": "580-772-1003",
            "fax_number": "580-772-0298"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ANGELICA, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-06-27",
        "last_updated": "2010-09-03",
        "status": "A",
        "authorized_official_last_name": "MERIDA",
        "authorized_official_first_name": "ANITA",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "580-772-1003",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "OK",
            "license": "HC7567",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE NUMBER",
            "identifier": "HC7567",
            "state": "OK"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100262470A",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Advanced HomeCare Services",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Home Health Agency in Weatherford, OK
• Providers in Weatherford, OK by specialty
• Home Health Agency in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 3, 2010; 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.