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Contact Information

ADA/CANYON VISITING ANGELS, LLC
36 E PINE AVE
MERIDIAN, ID83642-2329
 Phone: 208-888-3611
 Fax: 208-621-0245
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Home Health

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

NPI Profile & details for ADA/CANYON VISITING ANGELS, LLC

NPI # 1770818197
LBN Legal business name ADA/CANYON VISITING ANGELS, LLC
Authorized official JULIE VOGEL - (OWNER/DIRECTOR)
Entity Organization
Organization subpart 1 No
Enumeration date 10/04/2009
Last updated 08/15/2014 - About 12 years ago
Identifiers
ID Medicaid 808217500
ID Medicaid 808217501
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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