Organization Active NPI

Visiting Angels

  • Home Health Agency
  • Vienna, VA
National Provider Identifier
1205368388
Registry record updated Mar 29, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
VISITING ANGELS
Practice address
2106-E Gallows Rd
Vienna, VA 22182
Phone
(703) 291-1262
Fax
(703) 291-4974
NPI assigned
Mar 29, 2017
Last updated
Mar 29, 2017By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 29, 2017

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

Authorized official

Name
Marie Gina Pangle
Title
Director
Phone
(703) 291-1262

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X NU Primary
Point of Service 305S00000X NU
Respite Care 385H00000X NU

Addresses

Primary practice location

2106-E Gallows Rd
Vienna, VA 22182

Mailing address

2106-E Gallows Rd
Vienna, VA 22182
Phone (703) 291-1262

Other identifiers 3

IdentifierTypeStateIssuer
0153457566MedicaidVA
0103332117MedicaidVA
0167596789MedicaidVA

National Provider Directory

National Provider Directory

Locations

2106 Gallows Rd
Vienna, VA 22182
Phone (571) 766-8455

NPI Registry JSON

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

{
    "created_epoch": "1490745600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1490745600000",
    "number": "1205368388",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2106-E GALLOWS RD",
            "city": "VIENNA",
            "state": "VA",
            "postal_code": "22182",
            "telephone_number": "703-291-1262",
            "fax_number": "703-291-4974"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2106-E GALLOWS RD",
            "city": "VIENNA",
            "state": "VA",
            "postal_code": "22182",
            "telephone_number": "703-291-1262",
            "fax_number": "703-291-4974"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VISITING ANGELS",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-03-29",
        "last_updated": "2017-03-29",
        "status": "A",
        "authorized_official_last_name": "PANGLE",
        "authorized_official_first_name": "MARIE GINA",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "703-291-1262"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "305S00000X",
            "taxonomy_group": "",
            "desc": "Point of Service",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "385H00000X",
            "taxonomy_group": "",
            "desc": "Respite Care",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0153457566",
            "state": "VA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0103332117",
            "state": "VA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0167596789",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Vienna, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 29, 2017; 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.