Organization Active NPI

Dominique Angels Home Care LLC

  • Driver
  • Arlington, TX
National Provider Identifier
1225899412
Registry record updated Jan 16, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
DriverTaxonomy code 172A00000X
Legal business name
DOMINIQUE ANGELS HOME CARE LLC
Practice address
2200 Clover Park Dr
Arlington, TX 76013-1434
Phone
(817) 500-3873
Fax
(817) 584-6246
NPI assigned
Jan 16, 2024
Organization subpart
Yes
Parent organization
DOMINIQUE ANGELS HOME CARE LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jan 16, 2024

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

Authorized official

Name
Antionette Labarbra RavenellNPI 1972190114
Title
Ceo/Manager
Phone
(817) 500-3873

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
DriverGroup: 193200000X MULTI-SPECIALTY GROUP 172A00000X Primary

Addresses

Primary practice location

2200 Clover Park Dr
Arlington, TX 76013-1434

Mailing address

2200 Clover Park Dr
Arlington, TX 76013-1434
Phone (817) 500-3873

Other names 1

  • Dominque Angels Home Care Former legal business name

National Provider Directory

National Provider Directory
Tax ID family
Dominique Angels Home Care LLC2 organizations share this tax ID, including this one
Part of
Dominique Angels Home Care LLC

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

Practitioners & 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": "1705363200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1705363200000",
    "number": "1225899412",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2200 CLOVER PARK DR",
            "city": "ARLINGTON",
            "state": "TX",
            "postal_code": "760131434",
            "telephone_number": "817-500-3873",
            "fax_number": "817-584-6246"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2200 CLOVER PARK DR",
            "city": "ARLINGTON",
            "state": "TX",
            "postal_code": "760131434",
            "telephone_number": "817-500-3873",
            "fax_number": "817-584-6246"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DOMINIQUE ANGELS HOME CARE LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "DOMINIQUE ANGELS HOME CARE LLC",
        "enumeration_date": "2024-01-16",
        "last_updated": "2024-01-16",
        "certification_date": "2024-01-16",
        "status": "A",
        "authorized_official_last_name": "RAVENELL",
        "authorized_official_first_name": "ANTIONETTE",
        "authorized_official_middle_name": "LABARBRA",
        "authorized_official_title_or_position": "CEO/MANAGER",
        "authorized_official_telephone_number": "817-500-3873"
    },
    "taxonomies": [
        {
            "code": "172A00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Driver",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Dominque Angels Home Care",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Arlington, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 16, 2024; 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.