# BLUE ANGEL VENTURES INC.

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1750142378
- **Authorized official:** MR. STEVEN FAIRLEY JR. (GENERAL MANAGER)
- **Authorized official phone:** (508) 780-0031

## Contact information

- **Practice address:** 51 MAN MAR DR UNIT 4, PLAINVILLE, MA 02762-2272
- **Practice address phone:** (508) 780-0031
- **Mailing address:** 30 S WASHINGTON ST \# 510, NORTH ATTLEBORO, MA 02760-1649
- **Mailing address phone:** (774) 563-3785

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251B00000X | Case Management Agency | — | NULL | — |
| 251E00000X | Home Health Agency | — | NULL | Yes |
| 251F00000X | Home Infusion Agency | — | NULL | — |
| 251J00000X | Nursing Care Agency | — | NULL | — |
| 253Z00000X | In Home Supportive Care Agency | — | NULL | — |
| 302R00000X | Health Maintenance Organization | — | NULL | — |
| 385H00000X | Respite Care | — | NULL | — |

## Other

- **Enumeration date:** 01/22/2024
- **Last updated:** 01/22/2024