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General NPI Number Information
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NPI Number | 1013868728
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Entity Type | Organization
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Legal Business Name | ANGEL CARE PLLC
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Dates
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Enumeration Date | 02/07/2026
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Last Update Date | 02/07/2026
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Provider Practice Location Address
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Address Line | 441 MEADOWBROOK DR
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City | NAMPA
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State | ID
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Zip | 83686-6342
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Country | US
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Telephone | 986-206-4949
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Fax |
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Provider Business Mailing Address
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Address Line | 441 MEADOWBROOK DR
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City | NAMPA
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State | ID
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Zip | 83686-6342
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Country | US
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Telephone | 986-206-4949
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Fax |
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Authorized Official
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Title or Position | OWNER ADMINISTRATOR
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Name | MR. JOHN B GROVER
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Credential | RN
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Telephone | 208-872-6113
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251E00000X
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Taxonomy Name | Home Health Agency
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 251G00000X
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Taxonomy Name | Community Based Hospice Care Agency
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 251J00000X
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Taxonomy Name | Nursing Care Agency
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 253Z00000X
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Taxonomy Name | In Home Supportive Care Agency
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License Number |
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License Number State |
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Taxonomy #5
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Taxonomy Code | 251B00000X
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Taxonomy Name | Case Management Agency
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License Number |
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License Number State |
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Taxonomy #6
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Taxonomy Code | 163WA2000X
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Taxonomy Name | Administrator Registered Nurse
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License Number |
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License Number State |
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