Angelo Kidney Connection at Home, PLLC

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Legal business name

ANGELO KIDNEY CONNECTION AT HOME, PLLC

Practice address

2901 Sherwood Way
Suite 100
San Angelo, TX 76901-3586

Phone

(325) 617-2496

NPI assigned

Nov 14, 2013

Last updated

Nov 14, 2013By 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

Melanie L. Barrera

Title

Administrator

Phone

(325) 212-0319

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1384387200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1384387200000",
    "number": "1831529676",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 61074",
            "city": "SAN ANGELO",
            "state": "TX",
            "postal_code": "769061074"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2901 SHERWOOD WAY",
            "address_2": "SUITE 100",
            "city": "SAN ANGELO",
            "state": "TX",
            "postal_code": "769013586",
            "telephone_number": "325-617-2496"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ANGELO KIDNEY CONNECTION AT HOME, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-11-14",
        "last_updated": "2013-11-14",
        "status": "A",
        "authorized_official_last_name": "BARRERA",
        "authorized_official_first_name": "MELANIE",
        "authorized_official_middle_name": "L.",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "325-212-0319"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Angelo Counseling and Consulting, LLC
• Angelo Endodontics PA
• Angelo Eye Associates PA (Advanced Eye Care)
• Angelo General & Thoracic Surgery
• Angelo Healthcare Services, Inc.
• Angelo Kidney Connection, PLLC
• Angelo Nephrology Associated
• Angelo Oral & Maxillofacial Surgery, P. a.
• Angelo Pharmacy Corp (Angelo Pharmacy)
• Angelo Pharmacy Corp

• Home Health Agency in San Angelo, TX
• Providers in San Angelo, TX by specialty
• Home Health Agency in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 14, 2013; 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.