Angel Home, LLC

Primary specialty

Intellectual and/or Developmental Disabilities Community Based Residential Treatment FacilityTaxonomy code 320900000X

Legal business name

ANGEL HOME, LLC

Practice address

1801 Otterdale Rd
Midlothian, VA 23112-5201

Phone

(804) 212-4832

NPI assigned

May 30, 2023

Last updated

May 30, 2023By 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

Ali Eltom

Title

Director

Phone

(804) 691-6808

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Salwa Hassan Elshowaia, M.D

  • Anatomic Pathology & Clinical Pathology Physician
  • Richmond, VA
  • NPI 1932124575
  NPD

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

{
    "created_epoch": "1685404800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1685404800000",
    "number": "1003509795",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11307 LAUREL COVE LN",
            "city": "CHESTERFIELD",
            "state": "VA",
            "postal_code": "238388915",
            "telephone_number": "804-212-4832"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1801 OTTERDALE RD",
            "city": "MIDLOTHIAN",
            "state": "VA",
            "postal_code": "231125201",
            "telephone_number": "804-212-4832"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ANGEL HOME, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-05-30",
        "last_updated": "2023-05-30",
        "certification_date": "2023-05-30",
        "status": "A",
        "authorized_official_last_name": "ELTOM",
        "authorized_official_first_name": "ALI",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "804-691-6808"
    },
    "taxonomies": [
        {
            "code": "320900000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Laura Spector Anderson, D.O.
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• Angus Dentistry

• Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in Midlothian, VA
• Providers in Midlothian, VA by specialty
• Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 30, 2023; 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.