Organization Active NPI

Angellicare Inc.

  • Home Health Agency
  • Cleveland, OH
National Provider Identifier
1780117911
Registry record updated Apr 5, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
ANGELLICARE INC.
Practice address
17325 Euclid Ave
Suite 2060
Cleveland, OH 44112-1247
Phone
(216) 714-2273
Fax
(216) 485-2909
NPI assigned
Apr 5, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 5, 2017

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

Authorized official

Name
Mrs. Angelia D Pace
Title
Ceo
Phone
(216) 714-2273

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X OH Primary

Addresses

Primary practice location

17325 Euclid Ave
Suite 2060
Cleveland, OH 44112-1247

Mailing address

17325 Euclid Ave
Suite 2060
Cleveland, OH 44112-1247
Phone (216) 714-2273

Other identifiers 1

IdentifierTypeStateIssuer
0209173MedicaidOH

National Provider Directory

National Provider Directory

Locations

17325 Euclid Ave
Ste 2060
Cleveland, OH 44112
Phone (216) 714-2273

NPI Registry JSON

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

{
    "created_epoch": "1491350400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1491350400000",
    "number": "1780117911",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17325 EUCLID AVE",
            "address_2": "SUITE 2060",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "441121247",
            "telephone_number": "216-714-2273",
            "fax_number": "216-485-2909"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17325 EUCLID AVE",
            "address_2": "SUITE 2060",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "441121247",
            "telephone_number": "216-714-2273",
            "fax_number": "216-485-2909"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ANGELLICARE INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-04-05",
        "last_updated": "2017-04-05",
        "status": "A",
        "authorized_official_last_name": "PACE",
        "authorized_official_first_name": "ANGELIA",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "216-714-2273",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "OH",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0209173",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Cleveland, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 5, 2017; 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.