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Angelia Dotson

Homemaker in Belleville, IL. Individual provider (NPI-1).

NPI number1629464136
StatusActive
Last updated in NPPESApr 10, 2015

Details

NPI
1629464136
Entity type
Individual (NPI-1)
Name
Angelia Dotson
Sex
Female
Sole proprietor
Yes
Enumeration date
Apr 10, 2015
Last updated
Apr 10, 2015

Medicare and OIG

Medicare enrolled (PECOS)
Not in the Medicare enrollment file
Can order and refer
Not on the CMS order and referring list
OIG exclusion list
This NPI is not listed

CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
376J00000X Homemaker1504015ILYes
372500000X Chore Provider1504015IL
372600000X Adult Companion1504015IL
374U00000X Home Health Aide1504015IL

Practice location

210 S Church St
Apt 2a
Belleville, IL 62220-2266

Phone 618-606-3734

Mailing address

Po Box 304
East Saint Louis, IL 62202-0304

Phone 618-606-3734

Is something wrong?

This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.

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