ANGELIC NURSING & HOME CARE REGISTRY, INC. (NPI# 1013579788) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1013579788 |
| Entity Type | Organization |
| Organization Name | ANGELIC NURSING & HOME CARE REGISTRY, INC. |
| Practice Address |
65 E Center St Manchester CT 06040-5201 |
| Practice Telephone | 8606471956 |
| Practice Fax Number | 8605330534 |
| Mailing Telephone | 8606471956 |
| Mailing Fax Number | 8605330534 |
| Enumeration Date | 2019-07-02 |
| Last Update Date | 2019-07-02 |
| Authorized Official Name | MS. STACEY LYN LAPLANTE (PRESIDENT) |
| Authorized Official Telephone | 8606471956 |
| Authorized Official Credential | SENIOR ADVISOR |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 311ZA0620X |
Custodial Care Facility Specialization: Adult Care Home |
Nursing & Custodial Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CT | DEPARTMENT OF CONSUMER PROTECTION- NON MEDICAL HOMEMAKER COMPANI | 0000211 | 01 |
| CT | MAIN STREET STATION BONDS- FIELD BUSINESS SERVICE COMPANY | 1116508 | 01 |
| NH | LONG TERM CARE PARETNERS | LTCP8207 | 01 |
| Street Address |
65 E CENTER ST |
| City | MANCHESTER |
| State | CT |
| Zip Code | 06040-5201 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710501333 | Mackenzie Lawler | Social Worker | 200 W. Center Street, Suite C-2-6, Manchester, CT 06040 | 2020-05-29 |
| 1386288009 | Monica Diaz | Social Worker | 117 East Center Street, Suite A1, Manchester, CT 06040 | 2019-11-06 |
| 1346881596 | Sheryl Andrine Henry | Technician | 185 Pine Street, Apt 014, Manchester, CT 06040 | 2019-09-30 |
| 1811550304 | Edward Wahn Lee | Student in an Organized Health Care Education/Training Program | 130 Hartford Road, Manchester, CT 06040 | 2019-04-19 |
| 1538689534 | Bernard Ashirifie | Counselor | 869 Main Street, Apt 3, Manchester, CT 06040 | 2017-06-21 |
| 1497275697 | Justin David Chung | Dentist | 483 Middle Tpke W Ste 209, Manchester, CT 06040 | 2017-06-20 |
| 1114473436 | Amanda Edgar | Counselor | 469 Center Street, Manchester, CT 06040 | 2016-08-28 |
| 1760831366 | Samantha Micael | Marriage & Family Therapist | 200 West Center Street, Suite C-2-6, Manchester, CT 06040 | 2016-06-06 |
| 1962856179 | Odelia Brew | Nurse Practitioner | 256 Hackmatack Street, Manchester, CT 06040 | 2016-04-14 |
| 1306217765 | Stephen R Machattie | Social Worker | 843 Main St Ste 11, Manchester, CT 06040 | 2015-10-12 |
| Find all providers in zip 06040 | ||||
| Taxonomy Code | 311ZA0620X |
| Grouping | Nursing & Custodial Care Facilities |
| Classification | Custodial Care Facility |
| Specialization | Adult Care Home |
| A custodial care facility providing supportive and personal care services to disabled and/or elderly individuals who cannot function independently in most areas of activity and need assistance and monitoring to enable them to remain in a home like environment. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992245138 | T & B Business, LLC | Custodial Care Facility | 447 Broad St, Meriden, CT 06450-5841 | 2017-03-07 |
| 1760854699 | Accurate Health Care LLC | Custodial Care Facility | One Corporate Square, Hartford, CT 01603 | 2015-10-30 |
| 1265867394 | Caregiver Homes of Connecticut, Inc | Custodial Care Facility | 912 Silas Dean Highway - Suite 101, Weathersfield, CT 06109 | 2013-09-09 |
| 1013206028 | Empowerment Through Art, Inc. | Custodial Care Facility | 98 Courtland Cir Unit 3, Stamford, CT 06902-4303 | 2011-03-30 |
| 1811131196 | Connecticut Health Care Inc | Custodial Care Facility | 588 Ocean Ave, West Haven, CT 06516-7109 | 2009-04-30 |
| 1437300969 | Stamford Elderly Housing Corporation | Custodial Care Facility | 614 Scofieldtown Rd, Stamford, CT 06903-2805 | 2008-10-02 |
| 1740497858 | Oakcliff Convalescent Home | Custodial Care Facility | 71 Plaza Ave, Waterbury, CT 06710-1504 | 2007-05-17 |
| 1366658742 | United Community & Family Services, Inc. | Custodial Care Facility | 165 Mckinley Ave, Norwich, CT 06360-3509 | 2007-05-15 |
| 1508999889 | Rem Connecticut Community Services | Custodial Care Facility | 440 Middlefield Street, Middletown, CT 06457 | 2007-03-14 |
| 1174900682 | Shelby Lynn Malinowski | Custodial Care Facility | 745 Main St, East Hartford, CT 06108-3115 | 2015-05-05 |
| Find all providers with the same taxonomy | ||||
| City | MANCHESTER |
| Zip Code | 06040 |
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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.