MINK ANGEL LLC NPI 1154063345

NPI Information

  • NPI: 1154063345
  • Provider Name: MINK ANGEL LLC
  • Classification: Specialist - 1744P3200X
  • Specialization: Prosthetics Case Management
  • Entity Type: Organization
  • Address: 5631 N 16TH ST
    PHILADELPHIA, PA
    ZIP 19141
  • Phone: (267) 627-4740

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NPI Details

MINK ANGEL LLC is a prosthetics case management specialist in Philadelphia, PA. The provider is Under the Other Service Providers; Specialist the Prosthetics Case Management definition changed to: A case manager who provides services for patients with prosthetics. MINK ANGEL LLC NPI is 1154063345. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

5631 N 16TH ST
PHILADELPHIA, PA
ZIP 19141-710
Phone: (267) 627-4740

The provider's authorized official is Angela Rachelle Johnson .
The authorized official title is Ceo and has the following contact phone number (267) 408-7984.

The enumeration date for this NPI number is 4/8/2022 and was last updated on 4/25/2022.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1174400000XSpecialistNo
21744P3200XSpecialistProsthetics Case ManagementYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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