Blue Angel Home Care LLC

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Legal business name

BLUE ANGEL HOME CARE LLC

Practice address

1000 John R Rd
Suite 212
Troy, MI 48083-5852

Phone

(248) 809-2906

Fax

(248) 809-2907

NPI assigned

Mar 26, 2008

Last updated

Mar 7, 2015By 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

Mr. Anthony Alfred Shina, BSBA

Title

Member

Phone

(248) 809-2906

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1206489600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1425686400000",
    "number": "1811169121",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3986 GREENWOOD DR",
            "city": "ROCHESTER HILLS",
            "state": "MI",
            "postal_code": "483094724",
            "telephone_number": "248-809-2906",
            "fax_number": "248-809-2907"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1000 JOHN R RD",
            "address_2": "SUITE 212",
            "city": "TROY",
            "state": "MI",
            "postal_code": "480835852",
            "telephone_number": "248-809-2906",
            "fax_number": "248-809-2907"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BLUE ANGEL HOME CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-03-26",
        "last_updated": "2015-03-07",
        "status": "A",
        "authorized_official_last_name": "SHINA",
        "authorized_official_first_name": "ANTHONY",
        "authorized_official_middle_name": "ALFRED",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "248-809-2906",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "BSBA"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Home Health Agency in Troy, MI
• Providers in Troy, MI by specialty
• Home Health Agency in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2015; 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.