Ada/Canyon Visiting Angels, LLC

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Legal business name

ADA/CANYON VISITING ANGELS, LLC

Practice address

36 E Pine Ave
Meridian, ID 83642-2329

Phone

(208) 888-3611

Fax

(208) 621-0245

NPI assigned

Oct 4, 2009

Last updated

Aug 15, 2014By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Julie VogelNPI 1215343348

Title

Owner/Director

Phone

(208) 888-3611

Specialties & licenses 1

Addresses

Other identifiers 2

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Julie Vogel

  • In Home Supportive Care Agency
  • Meridian, ID
  • NPI 1215343348
  NPD (past) Authorized official

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

{
    "created_epoch": "1254614400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1408060800000",
    "number": "1770818197",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "36 E PINE AVE",
            "city": "MERIDIAN",
            "state": "ID",
            "postal_code": "836422329",
            "telephone_number": "208-888-3611",
            "fax_number": "208-621-0245"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "36 E PINE AVE",
            "city": "MERIDIAN",
            "state": "ID",
            "postal_code": "836422329",
            "telephone_number": "208-888-3611",
            "fax_number": "208-621-0245"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADA/CANYON VISITING ANGELS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-10-04",
        "last_updated": "2014-08-15",
        "status": "A",
        "authorized_official_last_name": "VOGEL",
        "authorized_official_first_name": "JULIE",
        "authorized_official_title_or_position": "OWNER/DIRECTOR",
        "authorized_official_telephone_number": "208-888-3611"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "808217500",
            "state": "ID"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "808217501",
            "state": "ID"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Home Health Agency in Meridian, ID
• Providers in Meridian, ID by specialty
• Home Health Agency in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 15, 2014; 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.