Organization · NPI-2
Angel Care PLLC
Registered Nurse, Administrator · Nampa, ID
NPI number1013868728
StatusActive
Last updated in NPPESFeb 7, 2026
Details
- NPI
- 1013868728
- Entity type
- Organization (NPI-2)
- Legal business name
- Angel Care PLLC
- Organization subpart
- No
- Enumeration date
- Feb 7, 2026
- Certification date
- Feb 7, 2026
- Last updated
- Feb 7, 2026
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 163WA2000X | Registered Nurse, Administrator | – | – | Yes |
| 251E00000X | Home Health | – | – | |
| 251G00000X | Hospice Care, Community Based | – | – | |
| 251J00000X | Nursing Care | – | – | |
| 253Z00000X | In Home Supportive Care | – | – | |
| 251B00000X | Case Management | – | – |
Practice location
441 Meadowbrook DrNampa, ID 83686-6342
Phone 986-206-4949
Mailing address
441 Meadowbrook DrNampa, ID 83686-6342
Phone 986-206-4949
Authorized official
John B Grover
Owner Administrator
2088726113
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