ANGLE HANDS SERVICES, INC. — NPI 1255505079 (Licensed & Credentialed Preferred Provider Organization in ROGERS, MN)

CMS-1500 Box 24J / 33a • NPI

1255505079

Type 2 Organization (Box 32a/33a)

HIPAA NUCC Taxonomy • CMS Code

305R00000X

Licensed & Credentialed Preferred Provider Organization

Box 32 Service Location & ZIP+4

13797 GOLDENEYE WAY, ROGERS, MN, 55374-4901

✓ 9-Digit EDI 837 ZIP+4 (55374-4901)

Practice Phone & Referral Fax

(763) 439-8119

Fax: (763) 657-1267

✓ HHS OIG LEIE Sanction Screening — VERIFIED CLEAR: NPI 1255505079 (ANGLE HANDS SERVICES, INC.) has 0 active federal exclusions across all 84,224 HHS OIG LEIE sanction records (Database Verified: 2026-11-11).

CMS Medicare Order & Referring PECOS Eligibility

Institutional Type-2 NPI facilities enroll via CMS-855A institutional provider agreements rather than individual Order & Referring PECOS.

Official CMS NPPES Credential & Practice Profile

10-Digit NPI Number	`1255505079` (NPI-2 Organization / Facility)
Provider / Legal Name	ANGLE HANDS SERVICES, INC.
Plain-English Specialty	Licensed & Credentialed Preferred Provider Organization NUCC Code: `305R00000X` (Preferred Provider Organization)
Certifying / Licensing Body	State Medical / Healthcare Licensing Board & National Specialty Board
Practice Location Address	13797 GOLDENEYE WAY, ROGERS, MN, 55374-4901
Practice Telephone / Fax	Tel: (763) 439-8119 \| Fax: (763) 657-1267
Administrative Mailing Address	13797 GOLDENEYE WAY, ROGERS, MN, 55374-4901
Enumeration & Last Sync	Enumerated: 2008-04-14 \| CMS Record Updated: 2008-04-14
Authorized Official	ESTELLA GARDER (Owner)

Clinic Location, Accessibility & Directions

📍 Practice Location & Patient Access

13797 GOLDENEYE WAY, ROGERS, MN, 55374-4901

🗺️ Open in Google Maps 🏥 More Providers in ROGERS

🔒 Are you ANGLE HANDS SERVICES, INC.? Get your Verified NPI Clinic Badge or request personal phone/address redaction →

Plain-English Taxonomy & CMS Crosswalk (305R00000X)

What Does Taxonomy Code 305R00000X Mean?

In the HIPAA National Uniform Claim Committee (NUCC) classification, code 305R00000X translates to:
"Licensed & Credentialed Preferred Provider Organization"

CMS-1500 Medicare Specialty Crosswalk: Standard HIPAA X12N 837P / CMS-1500
Certifying / Accrediting Authority: State Medical / Healthcare Licensing Board & National Specialty Board
Clinical Scope: Consult a verified Preferred Provider Organization for specialized diagnostic evaluation, treatment planning, and continuity of care.

Specialty Clinical Procedures & Therapeutic Classes

Standard Scope of Care (ANGLE HANDS SERVICES, INC.)

Typical CPT / Diagnostic Procedures:

Comprehensive Outpatient & Inpatient Clinical Evaluation (CPT 99202–99215)
Diagnostic Workup, Laboratory Ordering & Evidence-Based Care Coordination
Preventive Screening, Patient Counseling & Multidisciplinary Referral

Common Therapeutic Classes:

Evidence-Based Specialty Pharmacotherapy & Preventive Regimens (CMS Part D Standard)

All Registered NUCC Taxonomies & State Licenses

Taxonomy Code & Plain-English Description	State License & Primary Status
`302F00000X` — Exclusive Provider Organization Plain English: Licensed & Credentialed Exclusive Provider Organization	State: MN \| License: `672968000` \| Primary: Secondary
`302R00000X` — Health Maintenance Organization Plain English: Licensed & Credentialed Health Maintenance Organization	State: MN \| License: `672968000` \| Primary: Secondary
`305R00000X` — Preferred Provider Organization Plain English: Licensed & Credentialed Preferred Provider Organization	State: MN \| License: `672968000` \| Primary: Yes (Primary)

Medical Billing, RCM & Hospital Credentialing Teams:

Batch-verify up to 25 NPIs free against CMS NPPES + Medicare PECOS + HHS OIG Exclusions with 1-click CSV export.

Launch Bulk NPI Checker → JSON API Docs

ANGLE HANDS SERVICES, INC. (NPI #1255505079)