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Contact Information

ANGELWINGS COORDINATED CARE LLC
HC 61, BOX 416 QUAIL DRIVE
GLENWOOD, NM88039
 Phone: 505-539-2227
 Fax: 505-539-2225
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Home Health

251E00000X A4[11] Home Health Agency
Indicates primary specialty

NPI Profile & details for ANGELWINGS COORDINATED CARE LLC

NPI # 1184774291
LBN Legal business name ANGELWINGS COORDINATED CARE LLC
Authorized official SHARON BEATY - (OWNER)
Entity Organization
Organization subpart 1 No
Enumeration date 01/11/2007
Last updated 08/22/2020 - About 6 years ago
Identifiers
NM Medicaid 42284091
NM Medicaid 53908325
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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