NPIMap

Organization Active NPI

Dominique Angels Home Care LLC

  • Home Health Aide
  • Arlington, TX
National Provider Identifier
1013641174
Registry record updated Jul 14, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AideTaxonomy code 374U00000X
Legal business name
DOMINIQUE ANGELS HOME CARE LLC
Practice address
2200 Clover Park Dr
Arlington, TX 76013-1434
Phone
(181) 750-0387
Fax
(817) 200-6203
NPI assigned
Jul 14, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 14, 2022

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

Authorized official

Name
Antionette L Ravenell, HOME HEALTH AIDENPI 1972190114
Title
Manger/Home Health Aide
Phone
(817) 500-3873

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health AideGroup: 193200000X MULTI-SPECIALTY GROUP 374U00000X Primary

Addresses

Primary practice location

2200 Clover Park Dr
Arlington, TX 76013-1434

Mailing address

2200 Clover Park Dr
Arlington, TX 76013-1434
Phone (817) 500-3873

National Provider Directory

National Provider Directory
Tax ID family
Dominique Angels Home Care LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

Ownership & related parties

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

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": "1657756800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1657756800000",
    "number": "1013641174",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2200 CLOVER PARK DR",
            "city": "ARLINGTON",
            "state": "TX",
            "postal_code": "760131434",
            "telephone_number": "817-500-3873",
            "fax_number": "817-200-6203"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2200 CLOVER PARK DR",
            "city": "ARLINGTON",
            "state": "TX",
            "postal_code": "760131434",
            "telephone_number": "181-750-0387",
            "fax_number": "817-200-6203"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DOMINIQUE ANGELS HOME CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-07-14",
        "last_updated": "2022-07-14",
        "certification_date": "2022-07-14",
        "status": "A",
        "authorized_official_last_name": "RAVENELL",
        "authorized_official_first_name": "ANTIONETTE",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "MANGER/HOME HEALTH AIDE",
        "authorized_official_telephone_number": "817-500-3873",
        "authorized_official_credential": "HOME HEALTH AIDE"
    },
    "taxonomies": [
        {
            "code": "374U00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Home Health Aide",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Arlington, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 14, 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.