Active NPI
Angelus Home Health Care LLC
- Home Health Agency
- Reynoldsville, PA
National Provider Identifier
1689066342
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Agency
- Legal business name
- ANGELUS HOME HEALTH CARE LLC
- Practice address
- 911 Grant St
Reynoldsville, PA 15851-1417 - Phone
- (814) 771-6983
- Fax
- (814) 653-8200
- NPI assigned
- Mar 4, 2015
- Last updated
- Mar 4, 2015
- 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
- Jason Srock
- Title
- Owner
- Phone
- (814) 771-6983
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Agency | 251E00000X | NU | Primary |
Addresses
Primary practice location
911 Grant St
Reynoldsville, PA 15851-1417
Mailing address
911 Grant St
Reynoldsville, PA 15851-1417
Phone (814) 771-6983
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1425427200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1425427200000",
"number": "1689066342",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "911 GRANT ST",
"city": "REYNOLDSVILLE",
"state": "PA",
"postal_code": "158511417",
"telephone_number": "814-771-6983",
"fax_number": "814-653-8200"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "911 GRANT ST",
"city": "REYNOLDSVILLE",
"state": "PA",
"postal_code": "158511417",
"telephone_number": "814-771-6983",
"fax_number": "814-653-8200"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ANGELUS HOME HEALTH CARE LLC",
"organizational_subpart": "NO",
"enumeration_date": "2015-03-04",
"last_updated": "2015-03-04",
"status": "A",
"authorized_official_last_name": "SROCK",
"authorized_official_first_name": "JASON",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "814-771-6983"
},
"taxonomies": [
{
"code": "251E00000X",
"taxonomy_group": "",
"desc": "Home Health",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Reynoldsville, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 4, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.