Healthcare Provider Details

I. General information

NPI: 1982454948
Provider Name (Legal Business Name): ANGELINA LANETTE CASTANHEIRA
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 03/25/2024
Last Update Date: 08/25/2026
Certification Date: 08/25/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

912 MAIN ST STE 300
STROUDSBURG PA
18360-1641
US

IV. Provider business mailing address

912 MAIN ST STE 300
STROUDSBURG PA
18360-1641
US

V. Phone/Fax

Practice location:
  • Phone: 570-616-0020
  • Fax: 570-616-0025
Mailing address:
  • Phone: 570-616-0020
  • Fax: 570-616-0025

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code253Z00000X
TaxonomyIn Home Supportive Care Agency
License Number77393601
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: