Provider Demographics
NPI:1013579788
Name:ANGELIC NURSING & HOME CARE REGISTRY, INC.
Entity Type:Organization
Organization Name:ANGELIC NURSING & HOME CARE REGISTRY, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MS
Authorized Official - First Name:STACEY
Authorized Official - Middle Name:LYN
Authorized Official - Last Name:LAPLANTE
Authorized Official - Suffix:
Authorized Official - Credentials:SENIOR ADVISOR
Authorized Official - Phone:860-647-1956
Mailing Address - Street 1:65 E CENTER ST
Mailing Address - Street 2:
Mailing Address - City:MANCHESTER
Mailing Address - State:CT
Mailing Address - Zip Code:06040-5201
Mailing Address - Country:US
Mailing Address - Phone:860-647-1956
Mailing Address - Fax:860-533-0534
Practice Address - Street 1:65 E CENTER ST
Practice Address - Street 2:
Practice Address - City:MANCHESTER
Practice Address - State:CT
Practice Address - Zip Code:06040-5201
Practice Address - Country:US
Practice Address - Phone:860-647-1956
Practice Address - Fax:860-533-0534
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-07-02
Last Update Date:2019-07-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes311ZA0620XNursing & Custodial Care FacilitiesCustodial Care FacilityAdult Care Home
Provider Identifiers
StateIdentifier IDID TypeIssuer
NHLTCP8207OtherLONG TERM CARE PARETNERS
CT0000211OtherDEPARTMENT OF CONSUMER PROTECTION- NON MEDICAL HOMEMAKER COMPANION AGENCY
CT1116508OtherMAIN STREET STATION BONDS- FIELD BUSINESS SERVICE COMPANY