NPIMap

Organization Active NPI

Angel Butler

  • Adult Care Home Facility
  • Euclid, OH
National Provider Identifier
1699715482
Registry record updated Aug 22, 2020
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Key facts

NPPES NPI Registry
Primary specialty
Adult Care Home FacilityTaxonomy code 311ZA0620X
License
376865411097 Issued in OH
Legal business name
ANGEL BUTLER
Practice address
20251 Fuller Ave
Euclid, OH 44123-2636
Phone
(216) 255-1613
NPI assigned
Jun 8, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Ms. Angel Patrice Butler, STNA
Title
Nursing Asst
Phone
(216) 692-1079

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Care Home Facility 311ZA0620X 376865411097 OH Primary

Addresses

Primary practice location

20251 Fuller Ave
Euclid, OH 44123-2636

Mailing address

20251 Fuller Ave
Euclid, OH 44123-2636
Phone (216) 255-1613

Other names 1

  • none Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1149724800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1699715482",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20251 FULLER AVE",
            "city": "EUCLID",
            "state": "OH",
            "postal_code": "441232636",
            "telephone_number": "216-255-1613"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20251 FULLER AVE",
            "city": "EUCLID",
            "state": "OH",
            "postal_code": "441232636",
            "telephone_number": "216-255-1613"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ANGEL BUTLER",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-08",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "BUTLER",
        "authorized_official_first_name": "ANGEL",
        "authorized_official_middle_name": "PATRICE",
        "authorized_official_title_or_position": "NURSING ASST",
        "authorized_official_telephone_number": "216-692-1079",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "STNA"
    },
    "taxonomies": [
        {
            "code": "311ZA0620X",
            "taxonomy_group": "",
            "desc": "Custodial Care Facility, Adult Care Home",
            "state": "OH",
            "license": "376865411097",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "none",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Euclid, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.