Angelic Care LLC

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

Legal business name

ANGELIC CARE LLC

Practice address

15247 W Wethersfield Rd
Surprise, AZ 85379-9177

Phone

(602) 400-2604

Fax

(623) 225-7555

NPI assigned

Oct 7, 2020

Last updated

Oct 7, 2020By 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

Kingsley A Iyere Sr.

Title

President/Ceo

Phone

(602) 400-2604

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1602028800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1602028800000",
    "number": "1205433844",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15247 W WETHERSFIELD RD",
            "city": "SURPRISE",
            "state": "AZ",
            "postal_code": "853799177",
            "telephone_number": "602-400-2604"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15247 W WETHERSFIELD RD",
            "city": "SURPRISE",
            "state": "AZ",
            "postal_code": "853799177",
            "telephone_number": "602-400-2604",
            "fax_number": "623-225-7555"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ANGELIC CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-10-07",
        "last_updated": "2020-10-07",
        "certification_date": "2020-10-06",
        "status": "A",
        "authorized_official_last_name": "IYERE",
        "authorized_official_first_name": "KINGSLEY",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PRESIDENT/CEO",
        "authorized_official_telephone_number": "602-400-2604",
        "authorized_official_name_suffix": "Sr."
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Joshua Andreica
• Jacob Matthew Andrews, OTR/L
• Jennifer Leigh Andrews, PPDOT OTR/L
• Kimberlee Angel, FNP-C
• Emily Angeles Mancinas, DO
• Karen Roberta Angelopoulos, R. N.
• Claudia M Angulo, F.N.P.
• Animo Behavioral Health LLC
• Anthony Okechukwu Ezemba, PLLC
• Ana Antimie

• Assisted Living Facility in Surprise, AZ
• Providers in Surprise, AZ by specialty
• Assisted Living Facility in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 7, 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.