Organization Active NPI

Mason-Dixon Angel Care, LLC

  • In Home Supportive Care Agency
  • Waynesboro, PA
National Provider Identifier
1639615362
Registry record updated Jan 19, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
License
22553601 Issued in PA
Legal business name
MASON-DIXON ANGEL CARE, LLC
Practice address
10764 Buchanan TRL E
Waynesboro, PA 17268-9496
Phone
(717) 749-0458
NPI assigned
Jan 19, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 19, 2017

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

Authorized official

Name
Brian H Bailie
Title
Owner/Director
Phone
(717) 749-0458

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
In Home Supportive Care Agency 253Z00000X 22553601 PA Primary

Addresses

Primary practice location

10764 Buchanan TRL E
Waynesboro, PA 17268-9496

Mailing address

10764 Buchanan TRL E
Waynesboro, PA 17268-9496
Phone (717) 749-0458

Other names 1

  • Visiting Angels Doing business as

National Provider Directory

National Provider Directory

Locations

10764 Buchanan Trl E
Waynesboro, PA 17268
Phone (717) 749-0458

NPI Registry JSON

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

{
    "created_epoch": "1484784000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1484784000000",
    "number": "1639615362",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10764 BUCHANAN TRL E",
            "city": "WAYNESBORO",
            "state": "PA",
            "postal_code": "172689496",
            "telephone_number": "717-749-0458"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10764 BUCHANAN TRL E",
            "city": "WAYNESBORO",
            "state": "PA",
            "postal_code": "172689496",
            "telephone_number": "717-749-0458"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MASON-DIXON ANGEL CARE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-01-19",
        "last_updated": "2017-01-19",
        "status": "A",
        "authorized_official_last_name": "BAILIE",
        "authorized_official_first_name": "BRIAN",
        "authorized_official_middle_name": "H",
        "authorized_official_title_or_position": "OWNER/DIRECTOR",
        "authorized_official_telephone_number": "717-749-0458"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": "PA",
            "license": "22553601",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Visiting Angels",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Waynesboro, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 19, 2017; 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.