Angel Home Care LLC

Primary specialty

In Home Supportive Care AgencyTaxonomy code 253Z00000X

Legal business name

ANGEL HOME CARE LLC

Practice address

19550 International Blvd Ste 309
Seatac, WA 98188-5472

Phone

(253) 234-7921

Fax

(206) 592-2522

NPI assigned

Apr 16, 2018

Last updated

Jul 19, 2022By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Wondwossen Mersha

Title

Owner

Phone

(206) 592-2520

Specialties & licenses 1

Addresses

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1523836800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658188800000",
    "number": "1003303066",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19550 INTERNATIONAL BLVD STE 309",
            "city": "SEATAC",
            "state": "WA",
            "postal_code": "981885472",
            "telephone_number": "206-592-2520",
            "fax_number": "206-592-2522"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19550 INTERNATIONAL BLVD STE 309",
            "city": "SEATAC",
            "state": "WA",
            "postal_code": "981885472",
            "telephone_number": "253-234-7921",
            "fax_number": "206-592-2522"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ANGEL HOME CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-04-16",
        "last_updated": "2022-07-19",
        "certification_date": "2022-07-19",
        "status": "A",
        "authorized_official_last_name": "MERSHA",
        "authorized_official_first_name": "WONDWOSSEN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "206-592-2520"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": "WA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• In Home Supportive Care Agency in Seatac, WA
• Providers in Seatac, WA by specialty
• In Home Supportive Care Agency in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 19, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.