NPIMap

Organization Active NPI

Angel Health Services LLC

  • Skilled Nursing Facility
  • Brooklyn Park, MN
National Provider Identifier
1013269067
Registry record updated Oct 15, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
Legal business name
ANGEL HEALTH SERVICES LLC
Practice address
2609 87TH Trail N
Brooklyn Park, MN 55443
Phone
(763) 412-9921
NPI assigned
Oct 15, 2012
Organization subpart
Yes
Parent organization
ANGEL HEALTH SERVICES LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Oct 15, 2012

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

Authorized official

Name
Mr. Philip Uwagwu, RN
Title
Ceo
Phone
(763) 412-9921

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Care Home Facility 311ZA0620X
Skilled Nursing Facility 314000000X Primary
Skilled Nursing Facility 314000000X 15660842 MN
Pediatric Skilled Nursing Facility 3140N1450X

Addresses

Primary practice location

2609 87TH Trail N
Brooklyn Park, MN 55443

Mailing address

2609 87TH TRL N
Brooklyn Park, MN 55443-3742
Phone (763) 412-9921

National Provider Directory

National Provider Directory
Tax ID family
Angel Health Services LLC2 organizations share this tax ID, including this one
Part of
Angel Health Services LLC

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1350259200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1350259200000",
    "number": "1013269067",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2609 87TH TRL N",
            "city": "BROOKLYN PARK",
            "state": "MN",
            "postal_code": "554433742",
            "telephone_number": "763-412-9921"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2609 87TH TRAIL N",
            "city": "BROOKLYN PARK",
            "state": "MN",
            "postal_code": "55443",
            "telephone_number": "763-412-9921"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ANGEL HEALTH SERVICES LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "ANGEL HEALTH SERVICES LLC",
        "enumeration_date": "2012-10-15",
        "last_updated": "2012-10-15",
        "status": "A",
        "authorized_official_last_name": "UWAGWU",
        "authorized_official_first_name": "PHILIP",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "763-412-9921",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "311ZA0620X",
            "taxonomy_group": "",
            "desc": "Custodial Care Facility, Adult Care Home",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "MN",
            "license": "15660842",
            "primary": false
        },
        {
            "code": "3140N1450X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility, Nursing Care, Pediatric",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn Park, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 15, 2012; 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.