ANGEL HOMECARE LLC (NPI# 1497996102) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1497996102 |
| Entity Type | Organization |
| Organization Name | ANGEL HOMECARE LLC |
| Practice Address |
348 N Main St Andover MA 01810-2611 |
| Practice Telephone | 9784752244 |
| Practice Fax Number | 9784752448 |
| Mailing Telephone | 9784752244 |
| Mailing Fax Number | 9784752448 |
| Enumeration Date | 2009-03-11 |
| Last Update Date | 2009-03-11 |
| Authorized Official Name | MRS. TERRIE MARR (CEO) |
| Authorized Official Telephone | 9784752244 |
| Authorized Official Credential | RN |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251E00000X | Home Health | Agencies |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740688746 | Angel Homecare LLC | In Home Supportive Care | 5628 W Vliet St, Milwaukee, WI 53208-2122 | 2014-12-08 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Indiana Business Entities | ANGEL HOMECARE LLC LLC | 1833 W. Grove Road, Centerville, IN 47330 |
| Street Address |
348 N MAIN ST |
| City | ANDOVER |
| State | MA |
| Zip Code | 01810-2611 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871123513 | Jill Katherine Priestley | Registered Nurse | 251 South Main Street, Andover, MA 01810 | 2020-01-22 |
| 1023672086 | Diane Marie Gallant | Occupational Therapy Assistant | 5606 80 Andover Street, Andover, MA 01810 | 2019-04-25 |
| 1932677473 | Jessica Howie | Physician Assistant | 28 Andover St Fl 1, Andover, MA 01810 | 2018-11-02 |
| 1972087138 | Mia Cloonan | Social Worker | 1 Punchard Avenue, Apt. 3 Rear, Andover, MA 01810 | 2018-09-23 |
| 1063995462 | Janet Suleski | Social Worker | 10 Stevens St, Andover, MA 01810 | 2018-09-11 |
| 1942794706 | Alison Catherine Lynch | Optometrist | 7 Parthenon Cir, Andover, MA 01810 | 2018-06-15 |
| 1740773647 | Wandajune Bishop-towle | Psychologist | 75 Wild Rose Dr., Andover, MA 01810 | 2018-06-14 |
| 1235689860 | Jo-ann Elizabeth Newcomb | Registered Nurse | 12 Hemlock Rd, Andover, MA 01810 | 2016-10-06 |
| 1922476712 | Marianela Rivera | Physical Therapist | 32 Osgood St., Andover, MA 01810 | 2015-09-10 |
| 1447535935 | Kathleen L Mccracken | Occupational Therapy Assistant | 200 Brickstone Square, 3rd Floor, Genesis Rehab Services, Andover, MA 01810 | 2011-10-15 |
| Find all providers in zip 01810 | ||||
| Taxonomy Code | 251E00000X |
| Grouping | Agencies |
| Classification | Home Health |
| A public agency or private organization, or a subdivision of such an agency or organization, that is primarily engaged in providing skilled nursing services and other therapeutic services, such as physical therapy, speech-language pathology services, or occupational therapy, medical social services, and home health aide services. It has policies established by a professional group associated with the agency or organization (including at least one physician and one registered nurse) to govern the services and provides for supervision of such services by a physician or a registered nurse; maintains clinical records on all patients; is licensed in accordance with State or local law or is approved by the State or local licensing agency as meeting the licensing standards, where applicable; and meets other conditions found by the Secretary of Health and Human Services to be necessary for health and safety. |
| Notes: Source: CFR42 Chapter IV Part 484, http://www.access.gpo.gov/nara/cfr/waisidx_99/42cfr484_99.html [7/1/2007: definition added, source added] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932714177 | Bluefox Healthcare LLC | Home Health | 311 Lowell St Apt 2302, Andover, MA 01810-4558 | 2020-09-14 |
| 1790166718 | Raymond Olsen | Home Health | 1754 N Basswood Ct, Andover, KS 67002-7514 | 2015-06-16 |
| 1376948448 | Colleen Cumming | Home Health | 63 North St, Andover, MA 01810-1105 | 2014-10-30 |
| 1730527003 | Darkou Care Services | Home Health | 14297 Zilla Street Nw, Andover, MN 55304 | 2013-06-10 |
| 1023358215 | Serenity Home Health, Inc. | Home Health | 5618 State Route 7, Andover, OH 44003-9776 | 2013-02-25 |
| 1003116021 | Aderonke Naomi Osagiede Beyond Healthcare Agency LLC | Home Health | 10 New England Business Center Drive, Suite #105, Andover, MA 01801 | 2010-10-25 |
| 1962675231 | Integrity PCa Services Inc. | Home Health | 14259 Vintage St Nw, Andover, MN 55304-3159 | 2008-04-08 |
| 1326193400 | Mercy Home Care LLC | Home Health | 822 N Andover Rd, Andover, KS 67002-9527 | 2007-01-25 |
| 1649351354 | Excella Homecare, Inc. | Home Health | 35 New England Business Center Dr., Suite 207, Andover, MA 01810-1071 | 2006-10-18 |
| 1629009030 | Accukare, Inc | Home Health | 13750 Crosstown Dr Ste 202, Andover, MN 55304-5856 | 2006-07-05 |
| Find all providers in ANDOVER | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.