Organization Active NPI

Angels Assistance, Inc.

Doing business as Visiting Angels of Greater Peoria

  • In Home Supportive Care Agency
  • Peoria, IL
National Provider Identifier
1629300496
Registry record updated Feb 4, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
License
3000223 Issued in IL
Legal business name
ANGELS ASSISTANCE, INC.
Doing business as
Visiting Angels of Greater Peoria
Practice address
6707 N Sheridan Rd Ste B
Peoria, IL 61614-2800
Phone
(309) 690-4400
Fax
(309) 690-4402
NPI assigned
Feb 4, 2010
Last updated
Feb 4, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 4, 2010

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

Authorized official

Name
Judy Krajewski
Title
Owner
Phone
(309) 690-4400

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
In Home Supportive Care Agency 253Z00000X 3000223 IL Primary

Addresses

Primary practice location

6707 N Sheridan Rd Ste B
Peoria, IL 61614-2800

Mailing address

6707 N Sheridan Rd Ste B
Peoria, IL 61614-2800
Phone (309) 690-4400

Other names 1

  • Visiting Angels of Greater Peoria Doing business as

National Provider Directory

National Provider Directory

Locations

6707 N Sheridan Rd
Ste B
Peoria, IL 61614
Phone (309) 690-4400

NPI Registry JSON

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

{
    "created_epoch": "1265241600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1265241600000",
    "number": "1629300496",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6707 N SHERIDAN RD STE B",
            "city": "PEORIA",
            "state": "IL",
            "postal_code": "616142800",
            "telephone_number": "309-690-4400",
            "fax_number": "309-690-4402"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6707 N SHERIDAN RD STE B",
            "city": "PEORIA",
            "state": "IL",
            "postal_code": "616142800",
            "telephone_number": "309-690-4400",
            "fax_number": "309-690-4402"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ANGELS ASSISTANCE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-02-04",
        "last_updated": "2010-02-04",
        "status": "A",
        "authorized_official_last_name": "KRAJEWSKI",
        "authorized_official_first_name": "JUDY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "309-690-4400"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": "IL",
            "license": "3000223",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Visiting Angels of Greater Peoria",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Peoria, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 4, 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.