Provider Demographics
NPI:1558805200
Name:AMERICAN NURSING GROUP AGENCY CORP.
Entity Type:Organization
Organization Name:AMERICAN NURSING GROUP AGENCY CORP.
Other - Org Name:ANGAHEALTH
Other - Org Type:Other Name
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:ROBIN
Authorized Official - Middle Name:
Authorized Official - Last Name:COLANTONI
Authorized Official - Suffix:
Authorized Official - Credentials:RN MS
Authorized Official - Phone:781-535-2333
Mailing Address - Street 1:330 COCHITUATE RD
Mailing Address - Street 2:SUITE 1654
Mailing Address - City:FRAMINGHAM
Mailing Address - State:MA
Mailing Address - Zip Code:01701-4987
Mailing Address - Country:US
Mailing Address - Phone:781-535-2333
Mailing Address - Fax:508-202-9086
Practice Address - Street 1:82 HERBERT ST
Practice Address - Street 2:II DA
Practice Address - City:FRAMINGHAM
Practice Address - State:MA
Practice Address - Zip Code:01702-8772
Practice Address - Country:US
Practice Address - Phone:781-535-2333
Practice Address - Fax:508-202-9086
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-12-15
Last Update Date:2016-12-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
251B00000X, 251E00000X, 251G00000X, 251K00000X, 251S00000X, 253Z00000X
MAR03739251J00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care
No251B00000XAgenciesCase Management
No251E00000XAgenciesHome Health
No251G00000XAgenciesHospice Care, Community Based
No251J00000XAgenciesNursing Care
No251K00000XAgenciesPublic Health or Welfare
No251S00000XAgenciesCommunity/Behavioral Health