Active NPI
Angel Loving Care 1 Inc
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Lanham, MD
National Provider Identifier
1194477844
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Legal business name
- ANGEL LOVING CARE 1 INC
- Practice address
- 7375 Executive PL Ste 401
Lanham, MD 20706-6232 - Phone
- (301) 937-0188
- Fax
- (240) 260-3538
- NPI assigned
- Jan 24, 2022
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Fatiatu Jobi
- Title
- Ceo
- Phone
- (301) 937-0188
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Clinic/Center (Including Community Mental Health Center) | 261QM0801X | Primary | ||
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X |
Addresses
Primary practice location
7375 Executive PL Ste 401
Lanham, MD 20706-6232
Mailing address
7375 Executive PL Ste 401
Lanham, MD 20706-6232
Phone (301) 937-0188
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in DC
Enrollment records 1
National Provider Directory
National Provider DirectoryPractitioners & 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": "1642982400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1643155200000",
"number": "1194477844",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7375 EXECUTIVE PL STE 401",
"city": "LANHAM",
"state": "MD",
"postal_code": "207066232",
"telephone_number": "301-937-0188",
"fax_number": "240-260-3538"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7375 EXECUTIVE PL STE 401",
"city": "LANHAM",
"state": "MD",
"postal_code": "207066232",
"telephone_number": "301-937-0188",
"fax_number": "240-260-3538"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ANGEL LOVING CARE 1 INC",
"organizational_subpart": "NO",
"enumeration_date": "2022-01-24",
"last_updated": "2022-01-26",
"certification_date": "2022-01-26",
"status": "A",
"authorized_official_last_name": "JOBI",
"authorized_official_first_name": "FATIATU",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "301-937-0188"
},
"taxonomies": [
{
"code": "261QM0801X",
"taxonomy_group": "",
"desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
"state": null,
"license": null,
"primary": true
},
{
"code": "363LP0808X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Lanham, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 26, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.