Active NPI
Charlies Angels Healthcare LLC
- Home Health Aide
- Phoenix, AZ
National Provider Identifier
1205749306
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Aide
- Legal business name
- CHARLIES ANGELS HEALTHCARE LLC
- Practice address
- 4539 N 22ND St Ste N
Phoenix, AZ 85016-4639 - Phone
- (718) 598-3077
- Fax
- (855) 589-3052
- NPI assigned
- Sep 28, 2026
- Last updated
- Sep 28, 2026
- 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
- Ebony Bussey
- Title
- Ceo/Founder
- Phone
- (718) 598-3077
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Personal Care Attendant | 3747P1801X | NU | ||
| Home Health Aide | 374U00000X | NU | Primary | |
| Homemaker | 376J00000X | NU |
Addresses
Primary practice location
4539 N 22ND St Ste N
Phoenix, AZ 85016-4639
Mailing address
4539 N 22ND St Ste N
Phoenix, AZ 85016-4639
Phone (718) 598-3077
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1790553600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1790553600000",
"number": "1205749306",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4539 N 22ND ST STE N",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850164639",
"telephone_number": "718-598-3077",
"fax_number": "855-589-3052"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4539 N 22ND ST STE N",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850164639",
"telephone_number": "718-598-3077",
"fax_number": "855-589-3052"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CHARLIES ANGELS HEALTHCARE LLC",
"organizational_subpart": "NO",
"enumeration_date": "2026-09-28",
"last_updated": "2026-09-28",
"certification_date": "2026-09-28",
"status": "A",
"authorized_official_last_name": "BUSSEY",
"authorized_official_first_name": "EBONY",
"authorized_official_title_or_position": "CEO/FOUNDER",
"authorized_official_telephone_number": "718-598-3077"
},
"taxonomies": [
{
"code": "3747P1801X",
"taxonomy_group": "",
"desc": "Technician, Personal Care Attendant",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "374U00000X",
"taxonomy_group": "",
"desc": "Home Health Aide",
"state": "NU",
"license": null,
"primary": true
},
{
"code": "376J00000X",
"taxonomy_group": "",
"desc": "Homemaker",
"state": "NU",
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Phoenix, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 28, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.