Angel Home Health Care, LLC

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

License

1286L001 Issued in NY

Legal business name

ANGEL HOME HEALTH CARE, LLC

Practice address

71 Palatine Park Rd
Ste 3
Germantown, NY 12526-5340

Phone

(518) 537-2070

Fax

(518) 537-2071

NPI assigned

Apr 26, 2013

Organization subpart

No

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

Authorized official

Name

Ms. Peggy A. Watson, RN-BC

Title

Co-Administrator

Phone

(518) 537-2070

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1366934400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1366934400000",
    "number": "1720422215",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "71 PALATINE PARK RD",
            "address_2": "STE 3",
            "city": "GERMANTOWN",
            "state": "NY",
            "postal_code": "125265340",
            "telephone_number": "518-537-2070",
            "fax_number": "518-537-2071"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "71 PALATINE PARK RD",
            "address_2": "STE 3",
            "city": "GERMANTOWN",
            "state": "NY",
            "postal_code": "125265340",
            "telephone_number": "518-537-2070",
            "fax_number": "518-537-2071"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ANGEL HOME HEALTH CARE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-04-26",
        "last_updated": "2013-04-26",
        "status": "A",
        "authorized_official_last_name": "WATSON",
        "authorized_official_first_name": "PEGGY",
        "authorized_official_middle_name": "A.",
        "authorized_official_title_or_position": "CO-ADMINISTRATOR",
        "authorized_official_telephone_number": "518-537-2070",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "RN-BC"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "NY",
            "license": "1286L001",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02569560",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Amy J. Davison, D.O.,LLC
• Stacey Anderson
• Erica Lynn Balazs, RN
• Dana Balzer
• Kristin Susanne Beattie
• Sandra J Bohnsack, RN
• Talia Brooks-Salzman, L.AC, MSOM

• Home Health Agency in Germantown, NY
• Providers in Germantown, NY by specialty
• Home Health Agency in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 26, 2013; 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.