Angel Healthcare Nursing

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Legal business name

ANGEL HEALTHCARE NURSING

Practice address

4920 Niagara Rd Ste 318
College Park, MD 20740-1157

Phone

(240) 599-4860

Fax

(240) 599-4861

NPI assigned

Aug 20, 2024

Last updated

Aug 20, 2024By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mrs. Edidiong Ubom

Title

Administrator

Phone

(240) 599-4860

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1724112000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1724112000000",
    "number": "1174356869",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4920 NIAGARA RD STE 318",
            "city": "COLLEGE PARK",
            "state": "MD",
            "postal_code": "207401157",
            "telephone_number": "240-599-4860",
            "fax_number": "240-599-4861"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4920 NIAGARA RD STE 318",
            "city": "COLLEGE PARK",
            "state": "MD",
            "postal_code": "207401157",
            "telephone_number": "240-599-4860",
            "fax_number": "240-599-4861"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ANGEL HEALTHCARE NURSING",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-08-20",
        "last_updated": "2024-08-20",
        "certification_date": "2024-08-20",
        "status": "A",
        "authorized_official_last_name": "UBOM",
        "authorized_official_first_name": "EDIDIONG",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "240-599-4860",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Home Health Agency in College Park, MD
• Providers in College Park, MD by specialty
• Home Health Agency in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 20, 2024; 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.