Angel Home Care Agency Inc

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

License

2187L001 Issued in NY

Legal business name

ANGEL HOME CARE AGENCY INC

Practice address

1422 Hylan Blvd FL 2
Staten Island, NY 10305-1923

Phone

(718) 980-2273

NPI assigned

Aug 23, 2017

Organization subpart

No

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

Authorized official

Name

Veronika Gayan

Title

Administrator

Phone

(718) 980-2273

Specialties & licenses 1

Addresses

Other identifiers 1

Tax ID family

Angel Home Care Agency Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Angel Home Care Agency Inc

  • Home Health Agency
  • Staten Island, NY
  • NPI 1659815405
  NPD tax ID

Locations

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

{
    "created_epoch": "1503446400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1750808671",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1422 HYLAN BLVD",
            "address_2": "2ND FLOOR",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "10305",
            "telephone_number": "718-980-2273"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1422 HYLAN BLVD FL 2",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103051923",
            "telephone_number": "718-980-2273"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ANGEL HOME CARE AGENCY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-08-23",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "GAYAN",
        "authorized_official_first_name": "VERONIKA",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "718-980-2273"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "NY",
            "license": "2187L001",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "04665490",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Anesthesia Care, PC
• Maria Elizabeth Angco, OTR/L
• Angel Deruvo PLLC
• Angel Deruvo, Ma CCC SLP PLLC
• Angel Home Care Agency Inc
• Cara Angelico
• Angelmarc, LLC
• Georgia Marie Angelo, FNP-BC
• Angelone Mental Health Counseling PLLC
• Brieana May Angelone

• Home Health Agency in Staten Island, NY
• Providers in Staten Island, 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 Jul 21, 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.

Verify at the official NPI Registry.