Healthcare Provider Details

I. General information

NPI: 1013294115
Provider Name (Legal Business Name): ANGEL HEART CAREGIVERS
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/03/2011
Last Update Date: 11/03/2011
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

331 EAST MT ROAD
NEWPORT NH
03773
US

IV. Provider business mailing address

P.O. BOX 126
NEWPORT NH
03773
US

V. Phone/Fax

Practice location:
  • Phone: 603-504-5511
  • Fax:
Mailing address:
  • Phone: 603-504-5511
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code372500000X
TaxonomyChore Provider
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code372600000X
TaxonomyAdult Companion
License Number
License Number State
# 4
Primary TaxonomyN
Taxonomy Code374U00000X
TaxonomyHome Health Aide
License Number
License Number State
# 5
Primary TaxonomyN
Taxonomy Code376J00000X
TaxonomyHomemaker
License Number
License Number State
# 6
Primary TaxonomyN
Taxonomy Code376K00000X
TaxonomyNurse's Aide
License Number
License Number State
# 7
Primary TaxonomyY
Taxonomy Code253Z00000X
TaxonomyIn Home Supportive Care Agency
License Number03503
License Number StateNH

VIII. Authorized Official

Name: MS. JUDY ANNE CONTE
Title or Position: CEO
Credential: LNA
Phone: 603-504-5511