ANGEL HEALTHCARE INC


Address: 406 Keinath St, Mount Joy, PA 17552-3165
Phone: 7173331919

ANGEL HEALTHCARE INC (NPI# 1750942769) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1750942769
Entity Type Organization
Organization Name ANGEL HEALTHCARE INC
Practice Address 406 Keinath St
Mount Joy
PA 17552-3165
Practice Telephone 7173331919
Mailing Telephone 7173331919
Enumeration Date 2019-06-21
Last Update Date 2019-06-21
Authorized Official Name MR. EMMANUEL MUKENDI (MANAGER)
Authorized Official Telephone 7173331919
Authorized Official Credential CRNP
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363LP2300X Nurse Practitioner
Specialization: Primary Care
Physician Assistants & Advanced Practice Nursing Providers

Other Provider Identifier

State Issuer Identifier Type Code
PA 103263652 05

Office Location

Street Address 406 KEINATH ST
City MOUNT JOY
State PA
Zip Code 17552-3165

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1174733703 Asuncion Dental LLC Dentist 422 West Main Street, Mount Joy, PA 17552 2007-05-23
1134274152 James Larue Thomas Jr. Dentist 432 South Angle Street, Mount Joy, PA 17552 2007-01-23
1235216300 Derek L Nissley Specialist/Technologist 1025 Koser Rd, Mount Joy, PA 17552 2006-11-01
1710417746 Eli Katz Dentist 28 N Barbara St, Mount Joy, PA 17552 2017-06-13
1780061028 John Clayton Drumm Pharmacist 945 E Main St, Mount Joy, PA 17552 2015-05-06
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Taxonomy Information

Taxonomy Code 363LP2300X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Primary Care

Taxonomy Definition

Definition to come...

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Competitor

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City MOUNT JOY
Zip Code 17552

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Dataset Information

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.

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