Organization Active NPI

Angel Care Private Duty Nursing Services

  • In Home Supportive Care Agency
  • Norfolk, VA
National Provider Identifier
1629374467
Registry record updated Apr 19, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
License
HCO-12451 Issued in VA
Legal business name
ANGEL CARE PRIVATE DUTY NURSING SERVICES
Practice address
7421 Central Business Park Dr
Suite 106 B
Norfolk, VA 23513-2800
Phone
(757) 480-2929
Fax
(757) 480-2990
NPI assigned
Jan 26, 2011
Last updated
Apr 19, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 19, 2012

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

Authorized official

Name
Ms. Sherry P. Bedoya, REGISTERED NURSE
Title
Clinical Director
Phone
(757) 480-2929

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
In Home Supportive Care Agency 253Z00000X HCO-12451 VA Primary

Addresses

Primary practice location

7421 Central Business Park Dr
Suite 106 B
Norfolk, VA 23513-2800

Mailing address

7421 Central Business Park Dr
Suite 106 B
Norfolk, VA 23513-2800
Phone (757) 480-2929

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1296000000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1334793600000",
    "number": "1629374467",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7421 CENTRAL BUSINESS PARK DR",
            "address_2": "SUITE 106 B",
            "city": "NORFOLK",
            "state": "VA",
            "postal_code": "235132800",
            "telephone_number": "757-480-2929",
            "fax_number": "757-480-2990"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7421 CENTRAL BUSINESS PARK DR",
            "address_2": "SUITE 106 B",
            "city": "NORFOLK",
            "state": "VA",
            "postal_code": "235132800",
            "telephone_number": "757-480-2929",
            "fax_number": "757-480-2990"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ANGEL CARE PRIVATE DUTY NURSING SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-01-26",
        "last_updated": "2012-04-19",
        "status": "A",
        "authorized_official_last_name": "BEDOYA",
        "authorized_official_first_name": "SHERRY",
        "authorized_official_middle_name": "P.",
        "authorized_official_title_or_position": "CLINICAL DIRECTOR",
        "authorized_official_telephone_number": "757-480-2929",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "REGISTERED NURSE"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": "VA",
            "license": "HCO-12451",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Norfolk, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 19, 2012; 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.