Active NPI
Angelic Health Care Group, Inc.
- Home Health Registered Nurse
- San Diego, CA
National Provider Identifier
1629476429
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Registered Nurse
- Legal business name
- ANGELIC HEALTH CARE GROUP, INC.
- Doing business as
- Uplifting Care
- Practice address
- 1286 University Ave Ste 579
San Diego, CA 92103-3312 - Phone
- (619) 342-9400
- NPI assigned
- Dec 10, 2014
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Miss Shirine Baker, RN
- Title
- Chief Nursing Officer
- Phone
- (619) 342-9400
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Registered Nurse | 163WH0200X | Primary | ||
| Other Specialist/Technologist | 246Z00000X |
Addresses
Primary practice location
1286 University Ave Ste 579
San Diego, CA 92103-3312
Mailing address
350 10TH Ave Ste 1000
San Diego, CA 92101-8705
Phone (619) 342-9400
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 96-359-7930 | Other | ID | DUNS |
Other names 1
- Uplifting Care
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1418169600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1418169600000",
"number": "1629476429",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "350 10TH AVE STE 1000",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "921018705",
"telephone_number": "619-342-9400"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1286 UNIVERSITY AVE STE 579",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "921033312",
"telephone_number": "619-342-9400"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ANGELIC HEALTH CARE GROUP, INC.",
"organizational_subpart": "NO",
"enumeration_date": "2014-12-10",
"last_updated": "2014-12-10",
"status": "A",
"authorized_official_last_name": "BAKER",
"authorized_official_first_name": "SHIRINE",
"authorized_official_title_or_position": "CHIEF NURSING OFFICER",
"authorized_official_telephone_number": "619-342-9400",
"authorized_official_name_prefix": "Miss",
"authorized_official_credential": "RN"
},
"taxonomies": [
{
"code": "163WH0200X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Registered Nurse, Home Health",
"state": null,
"license": null,
"primary": true
},
{
"code": "246Z00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Specialist/Technologist, Other",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "DUNS",
"identifier": "96-359-7930",
"state": "ID"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Uplifting Care",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in San Diego, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 10, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.