Healthcare Provider Details
I. General information
NPI: 1639045990
Provider Name (Legal Business Name): ANGELACARES, INC.
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 10/14/2025
Last Update Date: 10/14/2025
Certification Date: 10/14/2025
Deactivation Date:
Reactivation Date:
III. Provider practice location address
512 OCEAN AVE UNIT 1
JERSEY CITY NJ
07305-3319
US
IV. Provider business mailing address
512 OCEAN AVE UNIT 1
JERSEY CITY NJ
07305-3319
US
V. Phone/Fax
- Phone: 201-780-6988
- Fax:
- Phone: 201-780-6988
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 251B00000X |
| Taxonomy | Case Management Agency |
| License Number | |
| License Number State | |
| # 2 | |
| Primary Taxonomy | N |
| Taxonomy Code | 251V00000X |
| Taxonomy | Voluntary or Charitable Agency |
| License Number | |
| License Number State | |
| # 3 | |
| Primary Taxonomy | N |
| Taxonomy Code | 253Z00000X |
| Taxonomy | In Home Supportive Care Agency |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
ANGELA
VICTORIA
MCKNIGHT
Title or Position: FOUNDER & CEO
Credential:
Phone: 201-780-6988