Private Senior Providers Etp

LBN: Angelwings Healthcare
Private Senior Providers Etp is an health care organization with primary practice located at 1503 Main St , Grandview MO 64030-2538. The organization recently has 3 registered licenses in different health care specialties including Managed Care Organizations / Health Maintenance Organization, Suppliers / Durable Medical Equipment & Medical Supplies, Transportation Services / Non-emergency Medical Transport (VAN). Managed Care Organizations / Health Maintenance Organization is the primary health care specialty. Angelwings Healthcare can be contacted via phone (816) 394-1868, or through Sherman, Nancy via phone (816) 394-1868.

Contact Information

Primary practice address
1503 Main St Grandview MO 64030-2538
Phone: (816) 394-1868
Fax: (877) 803-1868
Website:
Map and Directions
Authorized official contact:
Name: Sherman, Nancy
Phone: (816) 394-1868

Health care specialties

SpecialtyCodeLicense #State
Managed Care Organizations / Health Maintenance Organization 302R00000X LCO944539 Missouri
Suppliers / Durable Medical Equipment & Medical Supplies 332B00000X
Suppliers / Durable Medical Equipment & Medical Supplies 332B00000X LC0944539 Missouri
Transportation Services / Non-emergency Medical Transport (VAN) 343900000X LC0944539 Missouri

Profile Details

NPI number 1063652519
LBN Legal business name Angelwings Healthcare
DBA Doing business as Private Senior Providers Etp
Authorized official Sherman, Nancy
Entity Organization
Organization subpart 1 No
Enumeration date Feb 24th, 2009
Last updated Feb 24th, 2009 - about 15 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1063652519 NPPES
Missouri MEDICAID 081423233

Popular Providers