Organization Active NPI

Angels on Your Side Home Care, LLC

  • Home Health Agency
  • South Bend, IN
National Provider Identifier
1649046459
Registry record updated Dec 1, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
ANGELS ON YOUR SIDE HOME CARE, LLC
Doing business as
Angels on Your Side Home Care, LLC
Practice address
2515 N Bendix Dr Ste 304
South Bend, IN 46628-3494
Phone
(574) 742-3030
Fax
(574) 742-3030
NPI assigned
Dec 1, 2023
Last updated
Dec 1, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 1, 2023

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

Authorized official

Name
Taimeka Haggans
Title
Administrator
Phone
(574) 742-3030

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X NU Primary

Addresses

Primary practice location

2515 N Bendix Dr Ste 304
South Bend, IN 46628-3494

Mailing address

2515 N Bendix Dr Ste 304
South Bend, IN 46628-3494
Phone (574) 742-3030

Other names 1

  • ANGELS ON YOUR SIDE HOME CARE, LLC Doing business as

National Provider Directory

National Provider Directory

Locations

2515 N Bendix Dr
Ste 304
South Bend, IN 46628
Phone (574) 742-3030

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1701388800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1701388800000",
    "number": "1649046459",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2515 N BENDIX DR STE 304",
            "city": "SOUTH BEND",
            "state": "IN",
            "postal_code": "466283494",
            "telephone_number": "574-742-3030",
            "fax_number": "574-742-3030"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2515 N BENDIX DR STE 304",
            "city": "SOUTH BEND",
            "state": "IN",
            "postal_code": "466283494",
            "telephone_number": "574-742-3030",
            "fax_number": "574-742-3030"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ANGELS ON YOUR SIDE HOME CARE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-12-01",
        "last_updated": "2023-12-01",
        "certification_date": "2023-12-01",
        "status": "A",
        "authorized_official_last_name": "HAGGANS",
        "authorized_official_first_name": "TAIMEKA",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "574-742-3030"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "ANGELS ON YOUR SIDE HOME CARE, LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in South Bend, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 1, 2023; 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.