Angel Care Companion Services, Inc.

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Legal business name

ANGEL CARE COMPANION SERVICES, INC.

Practice address

217 Hawthorne Ave Apt 7
Central Islip, NY 11722-1306

Phone

(631) 310-6091

NPI assigned

Mar 22, 2021

Last updated

Mar 22, 2021By 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

Ms. Samantha Barth, N/ANPI 1255915864

Title

President/Owner

Phone

(631) 310-6091

Specialties & licenses 1

Addresses

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.

• Samantha Barth

  • Case Manager/Care Coordinator
  • Lake Grove, NY
  • NPI 1255915864
  NPD Authorized official

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

{
    "created_epoch": "1616371200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1616371200000",
    "number": "1801472782",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "34 E MAIN ST STE 430",
            "city": "SMITHTOWN",
            "state": "NY",
            "postal_code": "117872804",
            "telephone_number": "631-310-6091"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "217 HAWTHORNE AVE APT 7",
            "city": "CENTRAL ISLIP",
            "state": "NY",
            "postal_code": "117221306",
            "telephone_number": "631-310-6091"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ANGEL CARE COMPANION SERVICES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-03-22",
        "last_updated": "2021-03-22",
        "certification_date": "2021-03-22",
        "status": "A",
        "authorized_official_last_name": "BARTH",
        "authorized_official_first_name": "SAMANTHA",
        "authorized_official_title_or_position": "PRESIDENT/OWNER",
        "authorized_official_telephone_number": "631-310-6091",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "N/A"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Home Health Agency in Central Islip, NY
• Providers in Central Islip, 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 Mar 22, 2021; 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.