Organization Active NPI

Angels of Light Home Care LLC

  • In Home Supportive Care Agency
  • Newport Beach, CA
National Provider Identifier
1114622859
Registry record updated Apr 3, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
Legal business name
ANGELS OF LIGHT HOME CARE LLC
Practice address
895 Dove St Ste 300
Newport Beach, CA 92660-2996
Phone
(213) 640-1991
Fax
(959) 200-4101
NPI assigned
Apr 3, 2023
Last updated
Apr 3, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 3, 2023

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

Authorized official

Name
Nolusindiso Candice Katikati
Title
Owner
Phone
(213) 640-1991

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
In Home Supportive Care Agency 253Z00000X NU Primary

Addresses

Primary practice location

895 Dove St Ste 300
Newport Beach, CA 92660-2996

Mailing address

895 Dove St Ste 300
Newport Beach, CA 92660-2996
Phone (213) 640-1991

National Provider Directory

National Provider Directory

Locations

895 Dove St
Ste 300
Newport Beach, CA 92660
Phone (949) 954-8382

NPI Registry JSON

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

{
    "created_epoch": "1680480000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1680480000000",
    "number": "1114622859",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "895 DOVE ST STE 300",
            "city": "NEWPORT BEACH",
            "state": "CA",
            "postal_code": "926602996",
            "telephone_number": "213-640-1991",
            "fax_number": "959-200-4101"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "895 DOVE ST STE 300",
            "city": "NEWPORT BEACH",
            "state": "CA",
            "postal_code": "926602996",
            "telephone_number": "213-640-1991",
            "fax_number": "959-200-4101"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ANGELS OF LIGHT HOME CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-04-03",
        "last_updated": "2023-04-03",
        "certification_date": "2023-04-03",
        "status": "A",
        "authorized_official_last_name": "KATIKATI",
        "authorized_official_first_name": "NOLUSINDISO",
        "authorized_official_middle_name": "CANDICE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "213-640-1991"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Newport Beach, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 3, 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.