Organization Active NPI

Angelic Touch Concierge Nursing LLC

  • Home Health Agency
  • Virginia Beach, VA
National Provider Identifier
1063957199
Registry record updated Jul 26, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
ANGELIC TOUCH CONCIERGE NURSING LLC
Practice address
144 Business Park Dr Ste 202
Virginia Beach, VA 23462-6527
Phone
(757) 937-9569
Fax
(757) 937-9570
NPI assigned
Dec 28, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 26, 2023

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

Authorized official

Name
Mrs. Demetria S Clemons, RNNPI 1154733830
Title
Owner, Administrator
Phone
(757) 937-9569

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 3

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary
Nursing Care Agency 251J00000X
Respite Care 385H00000X

Addresses

Primary practice location

144 Business Park Dr Ste 202
Virginia Beach, VA 23462-6527

Mailing address

144 Business Park Dr Ste 202
Virginia Beach, VA 23462-6527
Phone (757) 937-9569

Other names 1

  • Angelic Touch Healthcare Services Doing business as

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
49D2291499Angelic Touch Concierge Nursing144 Business Park Dr, Suite 202, Virginia Beach, VA 23462Certificate of waiverOct 10, 2027

National Provider Directory

National Provider Directory

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": "1482883200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1690329600000",
    "number": "1063957199",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "144 BUSINESS PARK DR STE 202",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "234626527",
            "telephone_number": "757-937-9569",
            "fax_number": "757-937-5970"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "144 BUSINESS PARK DR STE 202",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "234626527",
            "telephone_number": "757-937-9569",
            "fax_number": "757-937-9570"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ANGELIC TOUCH CONCIERGE NURSING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-12-28",
        "last_updated": "2023-07-26",
        "certification_date": "2023-07-26",
        "status": "A",
        "authorized_official_last_name": "CLEMONS",
        "authorized_official_first_name": "DEMETRIA",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "OWNER, ADMINISTRATOR",
        "authorized_official_telephone_number": "757-937-9569",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "251J00000X",
            "taxonomy_group": "",
            "desc": "Nursing Care",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "385H00000X",
            "taxonomy_group": "",
            "desc": "Respite Care",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Angelic Touch Healthcare Services",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Virginia Beach, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 26, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.