Healthcare Provider Details

I. General information

NPI: 1205248614
Provider Name (Legal Business Name): ANGELA M JAMES
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: ANGIE JAMES

II. Dates (important events)

Enumeration Date: 05/20/2014
Last Update Date: 05/20/2014
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2836 WINSFORD CT
COLUMBUS OH
43232-5364
US

IV. Provider business mailing address

2836 WINSFORD CT
COLUMBUS OH
43232-5364
US

V. Phone/Fax

Practice location:
  • Phone: 614-762-6039
  • Fax:
Mailing address:
  • Phone: 614-762-6039
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code372600000X
TaxonomyAdult Companion
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code372500000X
TaxonomyChore Provider
License Number
License Number State
# 3
Primary TaxonomyY
Taxonomy Code374U00000X
TaxonomyHome Health Aide
License Number2235
License Number StateOH
# 4
Primary TaxonomyN
Taxonomy Code376J00000X
TaxonomyHomemaker
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: