Active NPI
Mason-Dixon Angel Care, LLC
- In Home Supportive Care Agency
- Waynesboro, PA
National Provider Identifier
1639615362
On this page
Key facts
NPPES NPI Registry- Primary specialty
- In Home Supportive Care Agency
- License
- 22553601
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
National Provider Directory
National Provider DirectoryLocations
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.