Active NPI
Blueeye Angels LLC
- In Home Supportive Care Agency
- Tumwater, WA
National Provider Identifier
1710601745
On this page
Key facts
NPPES NPI Registry- Primary specialty
- In Home Supportive Care Agency
- Legal business name
- BLUEEYE ANGELS LLC
- Practice address
- 2001 71St Ave SE
Tumwater, WA 98501 - Phone
- (425) 409-0502
- NPI assigned
- Oct 3, 2022
- 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
- Miss Durga Rangineni
- Title
- Ceo/Owner
- Phone
- (425) 409-0502
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| In Home Supportive Care Agency | 253Z00000X | Primary |
Addresses
Primary practice location
2001 71St Ave SE
Tumwater, WA 98501
Mailing address
2001 71St Ave SE
Tumwater, WA 98501
Phone (425) 409-0502
Other names 1
- BlueEye Angels LLC
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Case Manager/Care Coordinator
- Tumwater, WA
- NPI 1700510591
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1664755200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1664755200000",
"number": "1710601745",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2001 71ST AVE SE",
"city": "TUMWATER",
"state": "WA",
"postal_code": "98501",
"telephone_number": "425-409-0502"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2001 71ST AVE SE",
"city": "TUMWATER",
"state": "WA",
"postal_code": "98501",
"telephone_number": "425-409-0502"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "BLUEEYE ANGELS LLC",
"organizational_subpart": "NO",
"enumeration_date": "2022-10-03",
"last_updated": "2022-10-03",
"certification_date": "2022-10-03",
"status": "A",
"authorized_official_last_name": "RANGINENI",
"authorized_official_first_name": "DURGA",
"authorized_official_title_or_position": "CEO/OWNER",
"authorized_official_telephone_number": "425-409-0502",
"authorized_official_name_prefix": "Miss"
},
"taxonomies": [
{
"code": "253Z00000X",
"taxonomy_group": "",
"desc": "In Home Supportive Care",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "BlueEye Angels LLC",
"code": "4",
"type": "Former Legal Business Name"
}
]
}
Other providers in Tumwater, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 3, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.