Angelic Place Home Health LLC

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Legal business name

ANGELIC PLACE HOME HEALTH LLC

Practice address

754 Warrenton Rd Ste 109
Fredericksburg, VA 22406-1098

Phone

(540) 479-2756

Fax

(540) 642-4569

NPI assigned

Mar 18, 2019

Last updated

Mar 18, 2019By 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

Mr. Emigdus L Nkem

Title

Director

Phone

(571) 494-7066

Specialties & licenses 3

Addresses

Other identifiers 1

Electronic endpoints 1

Locations

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

{
    "created_epoch": "1552867200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1552867200000",
    "number": "1184183311",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "754 WARRENTON RD STE 109",
            "city": "FREDERICKSBURG",
            "state": "VA",
            "postal_code": "224061098",
            "telephone_number": "540-479-2756",
            "fax_number": "540-642-4569"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "754 WARRENTON RD STE 109",
            "city": "FREDERICKSBURG",
            "state": "VA",
            "postal_code": "224061098",
            "telephone_number": "540-479-2756",
            "fax_number": "540-642-4569"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ANGELIC PLACE HOME HEALTH LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-03-18",
        "last_updated": "2019-03-18",
        "status": "A",
        "authorized_official_last_name": "NKEM",
        "authorized_official_first_name": "EMIGDUS",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "571-494-7066",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "251J00000X",
            "taxonomy_group": "",
            "desc": "Nursing Care",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "HCO-2088",
            "state": "VA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "enkem@angelicplace.org",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "754 Warrenton Rd Ste 109",
            "city": "Fredericksburg",
            "state": "VA",
            "country_code": "US",
            "postal_code": "224061098",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

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• Home Health Agency in Fredericksburg, VA
• Providers in Fredericksburg, VA by specialty
• Home Health Agency in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 18, 2019; 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.