ANGEL SUPPORTIVE CARE, LLC


Address: 1514 Wealthy St Se, Suite 270, Grand Rapids, MI 49506-2755
Phone: 6162437080

ANGEL SUPPORTIVE CARE, LLC (NPI# 1558553545) 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) 1558553545
Entity Type Organization
Organization Name ANGEL SUPPORTIVE CARE, LLC
Other Organization Name VISITING ANGELS OF WEST MI
Practice Address 1514 Wealthy St Se
Suite 270
Grand Rapids
MI 49506-2755
Practice Telephone 6162437080
Practice Fax Number 6169880171
Mailing Telephone 6162437080
Mailing Fax Number 6169880171
Enumeration Date 2007-08-14
Last Update Date 2008-04-20
Authorized Official Name MS. PATRICIA L BORGDORFF (OWNER/DIRECTOR)
Authorized Official Telephone 6162437080
Authorized Official Credential MSW, ACSW
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 251E00000X Home Health ========= MI Agencies

Other Provider/Organization Names

Other Name Type Code
Visiting Angels of West MI Doing Business As Name - Organization

Office Location

Street Address 1514 WEALTHY ST SE
SUITE 270
City GRAND RAPIDS
State MI
Zip Code 49506-2755

Providers in the same location

NPI Name Taxonomy Address Enumeration
1841387099 Third Coast Counseling Center Social Worker 1514 Wealthy St Se, Ste 260, Grand Rapids, MI 49506-2755 2006-10-09
1568911162 Birth Song Midwifery Midwife 1514 Wealthy St Se, Suite 238, Grand Rapids, MI 49506-2762 2016-09-25
1861940686 Lisa Olmetti-o'loughlin Homeopath 1514 Wealthy St Se, Suite 218, Grand Rapids, MI 49506-2762 2016-09-21
1487102422 Arlene Dekam Registered Nurse 1514 Wealthy St Se, Suite 270, Grand Rapids, MI 49506-2762 2016-09-20
1831551977 Nichole Caudle Massage Therapist 1514 Wealthy St Se, Suite 218, Grand Rapids, MI 49506-2762 2016-03-28
1902266349 Melissa Joy Langley Counselor 1514 Wealthy St Se, Suite 236, Grand Rapids, MI 49506-2762 2016-02-27
1063885325 Jennifer Hall, Lmsw, Pllc Social Worker 1514 Wealthy St Se, Grand Rapids, MI 49506-2762 2015-11-09
1144567496 Jennifer Anne Meador Counselor 1514 Wealthy St Se, Suite 260, Grand Rapids, MI 49506 2013-01-07
1881811941 Ronald Craig Skidmore Counselor 1514 Wealthy St Se, Suite 260, Grand Rapids, MI 49506-2755 2007-04-19
1760533632 Cecilia Mae Skidmore Counselor 1514 Wealthy St Se, Suite 260, Grand Rapids, MI 49506-2755 2007-01-16
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1356954705 Mckenna Shank Technician 1409 E Beltline Ave Se, Grand Rapids, MI 49506 2020-08-26
1750917969 Meghan Elizabeth Southwell Social Worker Counseling Center of West Michigan, 360 East Beltline Ave Ne Suite 100, Grand Rapids, MI 49506 2020-03-19
1356876536 Lisa Finkbeiner Chiropractor 1324 Lake Dr Se Ste 1, Grand Rapids, MI 49506 2017-04-26
1447622964 Ashley Robinson Rehabilitation Practitioner 1490 East Beltline Ave, Grand Rapids, MI 49506 2015-10-23
1770951584 Stuart Segal Behavioral Analyst 1415 Wealthy St Se Apt 312, Grand Rapids, MI 49506 2015-09-10
1922476373 Elizabeth Taylor Nurse Practitioner 2255 Wealthy Dr., Grand Rapids, MI 49506 2015-09-02
1780066092 Carole Walters Counseling Social Worker 959 Wealthy St. Se, Grand Rapids, MI 49506 2015-06-23
1053792697 Rosemary F. Trimpe Social Worker 4255 Kalamazoo Se, Grand Rapids, MI 49506 2015-06-09
1164809919 Gary James Rehabilitation Practitioner 1490 E. Beltline Se, Grand Rapids, MI 49506 2015-04-30
1275925315 Paul Cole Counselor 1101 Ball Ave. .se., Grand Rapids, MI 49506 2015-02-26
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Taxonomy Information

Taxonomy Code 251E00000X
Grouping Agencies
Classification Home Health

Taxonomy Definition

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]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1992332621 Nrmi, LLC Home Health 769 Seward Ave Nw Ste 101, Grand Rapids, MI 49504-5191 2020-03-24
1972140333 Northwoods Villa Inc. Home Health 1905 W Us Highway 2, Grand Rapids, MN 55744-4738 2019-12-04
1912568239 Devoted 2u Home Care LLC Home Health 1300 Underwood Ave Se, Grand Rapids, MI 49506-3268 2019-06-26
1205397890 Kiss Ent LLC Home Health 2908 Giddings Ave Se, Grand Rapids, MI 49508-1430 2019-03-27
1497210017 Bella Mente Inc. Home Health 114 Brock Ln, Grand Rapids, MN 55744-9211 2019-02-07
1134698848 Passionate Caregivers LLC Home Health 508 Fontenelle St Se, Grand Rapids, MI 49548-7317 2018-11-26
1063920494 Lmk Home Health Services-llc Home Health 3265 Dawes Ave Se, Grand Rapids, MI 49508-1538 2018-01-19
1225547920 Praying Hands Home Care LLC Thanks Home Health 4922 Division Ave S Ste 4, Grand Rapids, MI 49548-4496 2017-09-25
1912421710 Annie Bethel LLC Home Health 625 Kenmoor Ave Se Ste 350, Grand Rapids, MI 49546-2395 2017-08-02
1538612692 Hands of Praise Home Care Home Health 1112 Benjamin Ave Se, Grand Rapids, MI 49506-3225 2016-07-25
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Competitor

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City GRAND RAPIDS
Zip Code 49506

Improve Information

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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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