MBS Connection

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

License

HP0212500 Issued in NJ

Legal business name

MBS CONNECTION

Practice address

904 Route 73 N
Evesham, NJ 08053-1230

Phone

(856) 596-8276

Fax

(856) 596-8348

NPI assigned

Jul 18, 2016

Organization subpart

No

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

Authorized official

Name

Mr. Phil John Dangelo Jr.

Title

Owner

Phone

(856) 287-1319

Specialties & licenses 1

Addresses

Other names 1

• Homecare Assistance Delaware Valley Doing business as

Locations

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

{
    "created_epoch": "1468800000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1479168000000",
    "number": "1700239407",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "904 ROUTE 73 N",
            "city": "EVESHAM",
            "state": "NJ",
            "postal_code": "080531230",
            "telephone_number": "856-596-8276",
            "fax_number": "856-596-8248"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "904 ROUTE 73 N",
            "city": "EVESHAM",
            "state": "NJ",
            "postal_code": "080531230",
            "telephone_number": "856-596-8276",
            "fax_number": "856-596-8348"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MBS CONNECTION",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-07-18",
        "last_updated": "2016-11-15",
        "status": "A",
        "authorized_official_last_name": "DANGELO",
        "authorized_official_first_name": "PHIL",
        "authorized_official_middle_name": "JOHN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "856-287-1319",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "Jr."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "NJ",
            "license": "HP0212500",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Homecare Assistance Delaware Valley",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• All providers in Evesham, NJ
• Home Health Agency in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 15, 2016; 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.