Blue Angel Home Care LLC

Primary specialty

In Home Supportive Care AgencyTaxonomy code 253Z00000X

Legal business name

BLUE ANGEL HOME CARE LLC

Practice address

213 Broadway
Long Branch, NJ 07740-7005

Phone

(732) 788-1603

NPI assigned

Oct 18, 2022

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Barry Williams

Title

President

Phone

(732) 788-1603

Specialties & licenses 3

Addresses

Locations

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

{
    "created_epoch": "1666051200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1667174400000",
    "number": "1982320180",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "79 DURAND PL",
            "city": "LONG BRANCH",
            "state": "NJ",
            "postal_code": "077407529",
            "telephone_number": "732-788-1603"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "213 BROADWAY",
            "city": "LONG BRANCH",
            "state": "NJ",
            "postal_code": "077407005",
            "telephone_number": "732-788-1603"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BLUE ANGEL HOME CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-10-18",
        "last_updated": "2022-10-31",
        "certification_date": "2022-10-31",
        "status": "A",
        "authorized_official_last_name": "WILLIAMS",
        "authorized_official_first_name": "BARRY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "732-788-1603"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sonia Biswas, DO
• Anna Blach, MD
• Terri Szepesi Blair, LPC
• Mariah Blanton, MS, CADCI
• John Carl Bloodgood, PT
• Renee Bolognese, APN
• Carl P Bontempo, MD
• Heather Borbely, CRNA
• Jay Bosniak, M.D.
• Merna Botros

• In Home Supportive Care Agency in Long Branch, NJ
• Providers in Long Branch, NJ by specialty
• In Home Supportive Care Agency in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 31, 2022; 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.