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ANGEL'S INN NPI 1467812941


NPI Information

NPI: 1467812941
Provider Name: ANGEL'S INN
Classification: Custodial Care Facility - 311ZA0620X
Entity Type: Organization

Specialization: Adult Care Home

Address:
518 PINE ST
WATERTOWN, NY
ZIP 13601
Phone: (315) 782-2238
Get Directions

ANGEL'S INN is an adult care home custodial care facility in Watertown, NY. The provider is 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. ANGEL'S INN NPI is 1467812941. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

518 PINE ST
WATERTOWN, NY
ZIP 13601-235
Phone: (315) 782-2238

The provider's authorized official is Floyd Austin Bradley .
The authorized official title is Administrator and has the following contact phone number (315) 782-2238.

The enumeration date for this NPI number is 2/26/2016 and was last updated on 2/26/2016.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1376G00000XNursing Home Administrator05684NEW YORKNo
2311ZA0620XCustodial Care FacilityAdult Care Home330F036NEW YORKYes

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: 4/28/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.