NPIMap

Organization Active NPI

Angel Personal Care Services LLC

  • Home Health Agency
  • Las Vegas, NV
National Provider Identifier
1245869411
Registry record updated Apr 23, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
ANGEL PERSONAL CARE SERVICES LLC
Practice address
4160 S Pecos Rd # 21
Las Vegas, NV 89121-5025
Phone
(702) 665-4767
NPI assigned
Apr 8, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 23, 2020

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

Authorized official

Name
Angella EarleNPI 1639442064
Title
Owner
Phone
(026) 654-7677

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
Home Health Agency 251E00000X Primary

Addresses

Primary practice location

4160 S Pecos Rd # 21
Las Vegas, NV 89121-5025

Mailing address

4160 S Pecos Rd # 21
Las Vegas, NV 89121-5025
Phone (702) 665-4767

Other identifiers 1

IdentifierTypeStateIssuer
30MedicaidNV

Other names 1

  • Angel Personal Care Doing business as

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL N/A

National Provider Directory

National Provider Directory
Tax ID family
Angel Personal Care2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

Locations

4160 S Pecos Rd
#21
Las Vegas, NV 89121
Phone (702) 665-4767

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": "1586304000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1587600000000",
    "number": "1245869411",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4160 S PECOS RD # 21",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891215025",
            "telephone_number": "702-665-4767"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4160 S PECOS RD # 21",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891215025",
            "telephone_number": "702-665-4767"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ANGEL PERSONAL CARE SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-04-08",
        "last_updated": "2020-04-23",
        "certification_date": "2020-04-23",
        "status": "A",
        "authorized_official_last_name": "EARLE",
        "authorized_official_first_name": "ANGELLA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "026-654-7677"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "30",
            "state": "NV"
        }
    ],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "N/A",
            "affiliation": "N",
            "address_1": "4160 S Pecos Rd # 21",
            "city": "Las Vegas",
            "state": "NV",
            "country_code": "US",
            "postal_code": "891215025",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Angel Personal Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Las Vegas, NV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 23, 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.