Organization Active NPI

Golden Angel Care LLC

  • In Home Supportive Care Agency
  • MC Lean, VA
National Provider Identifier
1063998086
Registry record updated Aug 8, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
Legal business name
GOLDEN ANGEL CARE LLC
Practice address
1765 Greensboro Station PL Ste 900
MC Lean, VA 22102
Phone
(800) 809-5862
NPI assigned
Jul 12, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 8, 2018

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

Authorized official

Name
Vera QuaysonNPI 1801194204
Title
Owner
Phone
(240) 328-0405

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
In Home Supportive Care Agency 253Z00000X Primary

Addresses

Primary practice location

1765 Greensboro Station PL Ste 900
MC Lean, VA 22102

Mailing address

1765 Greensboro Station PL Ste 900
MC Lean, VA 22102-3470
Phone (800) 809-5862

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": "1531353600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1533686400000",
    "number": "1063998086",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1765 GREENSBORO STATION PL STE 900",
            "city": "MC LEAN",
            "state": "VA",
            "postal_code": "221023470",
            "telephone_number": "800-809-5862"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1765 GREENSBORO STATION PL STE 900",
            "city": "MC LEAN",
            "state": "VA",
            "postal_code": "22102",
            "telephone_number": "800-809-5862"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GOLDEN ANGEL CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-07-12",
        "last_updated": "2018-08-08",
        "status": "A",
        "authorized_official_last_name": "QUAYSON",
        "authorized_official_first_name": "VERA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "240-328-0405"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in MC Lean, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 8, 2018; 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.