Angel Support Coordination LLC

Primary specialty

Case Manager/Care CoordinatorTaxonomy code 171M00000X

Legal business name

ANGEL SUPPORT COORDINATION LLC

Practice address

40 Watson Ave
East Orange, NJ 07018-3304

Phone

(862) 252-3589

NPI assigned

Aug 16, 2018

Last updated

Aug 16, 2018By 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

Gloria Thora Johnson AppletonNPI 1629565163

Title

Executive Director

Phone

(862) 252-3589

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.

• Gloria Thora Johnson Appleton

  • Case Manager/Care Coordinator
  • East Orange, NJ
  • NPI 1629565163
  NPD (past) Authorized official

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

{
    "created_epoch": "1534377600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1534377600000",
    "number": "1881174183",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "40 WATSON AVE",
            "city": "EAST ORANGE",
            "state": "NJ",
            "postal_code": "070183304",
            "telephone_number": "862-252-3589"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "40 WATSON AVE",
            "city": "EAST ORANGE",
            "state": "NJ",
            "postal_code": "070183304",
            "telephone_number": "862-252-3589"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ANGEL SUPPORT COORDINATION LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-08-16",
        "last_updated": "2018-08-16",
        "status": "A",
        "authorized_official_last_name": "JOHNSON APPLETON",
        "authorized_official_first_name": "GLORIA",
        "authorized_official_middle_name": "THORA",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "862-252-3589"
    },
    "taxonomies": [
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michelle D Anderson, MSW
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• Evelyn P Andrada, RN
• Natacha Andrews
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• Spiro Antonacos

• Case Manager/Care Coordinator in East Orange, NJ
• Providers in East Orange, NJ by specialty
• Case Manager/Care Coordinator in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 16, 2018; 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.