NPIMap

Organization Active NPI

Angel Care Services LLC

  • Clinical Social Worker
  • Detroit, MI
National Provider Identifier
1245568591
Registry record updated Nov 25, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
6801033475 Issued in MI
Legal business name
ANGEL CARE SERVICES LLC
Practice address
20206 Rogge St
Detroit, MI 48234-3090
Phone
(313) 863-8224
Fax
(313) 533-0967
NPI assigned
Nov 25, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 25, 2009

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

Authorized official

Name
Mr. Matthew D Jones Jr., LMSW
Title
Coo
Phone
(313) 863-8224

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 1041C0700X 6801033475 MI Primary

Addresses

Primary practice location

20206 Rogge St
Detroit, MI 48234-3090

Mailing address

20206 Rogge St
Detroit, MI 48234-3090
Phone (313) 863-8224

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 4

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": "1259107200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1259107200000",
    "number": "1245568591",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20206 ROGGE ST",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482343090",
            "telephone_number": "313-863-8224",
            "fax_number": "313-533-0967"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20206 ROGGE ST",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482343090",
            "telephone_number": "313-863-8224",
            "fax_number": "313-533-0967"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ANGEL CARE SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-11-25",
        "last_updated": "2009-11-25",
        "status": "A",
        "authorized_official_last_name": "JONES",
        "authorized_official_first_name": "MATTHEW",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "COO",
        "authorized_official_telephone_number": "313-863-8224",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "LMSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": "MI",
            "license": "6801033475",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Detroit, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 25, 2009; 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.