Organization Active NPI

Angel of Mercy Villa LLC

  • Personal Care Attendant
  • Houston, TX
National Provider Identifier
1164033312
Registry record updated Aug 16, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Personal Care AttendantTaxonomy code 3747P1801X
Legal business name
ANGEL OF MERCY VILLA LLC
Practice address
8700 Commerce Park Dr Ste 253
Houston, TX 77036-7432
Phone
(713) 540-0019
Fax
(713) 981-6395
NPI assigned
Aug 12, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 16, 2020

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

Authorized official

Name
Angela Ngozi OjiNPI 1699239178
Title
Administrator
Phone
(713) 540-0019

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X
Personal Care AttendantGroup: 193200000X MULTI-SPECIALTY GROUP 3747P1801X Primary

Addresses

Primary practice location

8700 Commerce Park Dr Ste 253
Houston, TX 77036-7432

Mailing address

8700 Commerce Park Dr Ste 253
Houston, TX 77036-7432
Phone (713) 540-0019

Other identifiers 1

IdentifierTypeStateIssuer
020066OtherTXHCSSA

National Provider Directory

National Provider Directory

Locations

8700 Commerce Park Dr
Ste 253
Houston, TX 77036
Phone (713) 540-0019

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": "1597190400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1597536000000",
    "number": "1164033312",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8700 COMMERCE PARK DR STE 253",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770367432",
            "telephone_number": "713-540-0019",
            "fax_number": "713-981-6395"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8700 COMMERCE PARK DR STE 253",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770367432",
            "telephone_number": "713-540-0019",
            "fax_number": "713-981-6395"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ANGEL OF MERCY VILLA LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-08-12",
        "last_updated": "2020-08-16",
        "certification_date": "2020-08-16",
        "status": "A",
        "authorized_official_last_name": "OJI",
        "authorized_official_first_name": "ANGELA",
        "authorized_official_middle_name": "NGOZI",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "713-540-0019"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3747P1801X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Technician, Personal Care Attendant",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HCSSA",
            "identifier": "020066",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Houston, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 16, 2020; 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.