Angels on Guard

Primary specialty

Adult Care Home FacilityTaxonomy code 311ZA0620X

License

271796 Issued in NY

Legal business name

ANGELS ON GUARD

Practice address

9552 Route 408 South Rd
Nunda, NY 14517

Phone

(585) 468-5570

NPI assigned

Jan 3, 2011

Organization subpart

No

Name

Mrs. Kathleenanne Evans, RN, BS EDU, LMTNPI 1659680866

Title

Administrator

Phone

(585) 468-5570

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Kathleenanne Evans, RN, BSED, LMT

  • Registered Nurse
  • Nunda, NY
  • NPI 1659680866
  NPD (past) Authorized official

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jan 3, 2011.

{
    "created_epoch": "1294012800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1294012800000",
    "number": "1811291024",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 576",
            "city": "NUNDA",
            "state": "NY",
            "postal_code": "145170576"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9552 ROUTE 408 SOUTH RD",
            "city": "NUNDA",
            "state": "NY",
            "postal_code": "14517",
            "telephone_number": "585-468-5570"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ANGELS ON GUARD",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-01-03",
        "last_updated": "2011-01-03",
        "status": "A",
        "authorized_official_last_name": "EVANS",
        "authorized_official_first_name": "KATHLEENANNE",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "585-468-5570",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "RN, BS EDU, LMT"
    },
    "taxonomies": [
        {
            "code": "311ZA0620X",
            "taxonomy_group": "",
            "desc": "Custodial Care Facility, Adult Care Home",
            "state": "NY",
            "license": "271796",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1659680866",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jeremiah S Axtell, RPH
• Lorena M Bennett
• Sarah M Burrus, LPN
• James Paul Byrnes, RPH
• Shannon Conley, LPN

• All providers in Nunda, NY
• Adult Care Home Facility in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 3, 2011; 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.