Provider Demographics
NPI:1437610581
Name:AINSLEY'S ANGELS OF AMERICA
Entity type:Organization
Organization Name:AINSLEY'S ANGELS OF AMERICA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:KIM
Authorized Official - Middle Name:R
Authorized Official - Last Name:ROSSITER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:757-202-7915
Mailing Address - Street 1:PO BOX 6287
Mailing Address - Street 2:
Mailing Address - City:VIRGINIA BEACH
Mailing Address - State:VA
Mailing Address - Zip Code:23456
Mailing Address - Country:US
Mailing Address - Phone:757-202-7915
Mailing Address - Fax:
Practice Address - Street 1:828 CABRINI PLACE
Practice Address - Street 2:
Practice Address - City:VIRGINIA BEACH
Practice Address - State:VA
Practice Address - Zip Code:23464
Practice Address - Country:US
Practice Address - Phone:757-202-7915
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-03-29
Last Update Date:2019-03-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251V00000XAgenciesVoluntary or Charitable
No332BC3200XSuppliersDurable Medical Equipment & Medical SuppliesCustomized Equipment