Angel Network Inc.

Primary specialty

In Home Supportive Care AgencyTaxonomy code 253Z00000X

Legal business name

ANGEL NETWORK INC.

Practice address

16400 Southcenter Pkwy Ste 208
Tukwila, WA 98188-3383

Phone

(425) 282-5505

Fax

(425) 282-5324

NPI assigned

Jan 24, 2019

Organization subpart

No

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

Authorized official

Name

Sophia Moikobu

Title

Director/Owner

Phone

(425) 282-5505

Specialties & licenses 7

Addresses

Other names 1

• Visiting Angels of Renton Doing business as

Locations

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

{
    "created_epoch": "1548288000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1695686400000",
    "number": "1043774029",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16400 SOUTHCENTER PKWY STE 208",
            "city": "TUKWILA",
            "state": "WA",
            "postal_code": "981883383",
            "telephone_number": "425-282-5550",
            "fax_number": "425-282-5324"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16400 SOUTHCENTER PKWY STE 208",
            "city": "TUKWILA",
            "state": "WA",
            "postal_code": "981883383",
            "telephone_number": "425-282-5505",
            "fax_number": "425-282-5324"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ANGEL NETWORK INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-01-24",
        "last_updated": "2023-09-26",
        "certification_date": "2023-09-26",
        "status": "A",
        "authorized_official_last_name": "MOIKOBU",
        "authorized_official_first_name": "SOPHIA",
        "authorized_official_title_or_position": "DIRECTOR/OWNER",
        "authorized_official_telephone_number": "425-282-5505"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "372500000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chore Provider",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "372600000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Adult Companion",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "374U00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Home Health Aide",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "376J00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Homemaker",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "376K00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse's Aide",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Visiting Angels of Renton",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Nico Andrade
• Rojun Guerrero Andres
• Jamie Daugherty Andrews, PHARM.D.
• Marlene Andrews, SWAICL
• Whitney Nicole Andrews, LMSW
• Hannah Barbara Angle
• Padmaraj (Raj) V. Angolkar, D.D.S., M.D.S.
• Anthony Dire, D.D.S.,P.S.
• Anton Power DO PLLC
• Wai Man Joana Ao, RPH

• In Home Supportive Care Agency in Tukwila, WA
• Providers in Tukwila, 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 Sep 26, 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.