NPIMap

Organization Active NPI

Angel Assisted Living

  • Assisted Living Facility
  • Lanham, MD
National Provider Identifier
1306020169
Registry record updated Dec 28, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
License
16ALO745 Issued in MD
Legal business name
ANGEL ASSISTED LIVING
Practice address
8919 Hickory Hill Ave
Lanham, MD 20706-2851
Phone
(301) 577-2999
Fax
(301) 577-3771
NPI assigned
Dec 28, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 28, 2007

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

Authorized official

Name
Mr. Angelina S Ughiovhe
Title
Director
Phone
(301) 577-2999

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X 16ALO745 MD Primary
Assisted Living Facility 310400000X 16AL0794 MD
Assisted Living Facility 310400000X 16AL454 MD
Assisted Living Facility 310400000X 16AL0843 MD

Addresses

Primary practice location

8919 Hickory Hill Ave
Lanham, MD 20706-2851

Mailing address

8919 Hickory Hill Ave
Lanham, MD 20706-2851
Phone (301) 577-2999

Other identifiers 4

IdentifierTypeStateIssuer
0026425-02MedicaidMD
989401200MedicaidMD
989401201MedicaidMD
002642501MedicaidMD

National Provider Directory

National Provider Directory
Tax ID family
Angel Assisted Living2 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.

NPI Registry JSON

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

{
    "created_epoch": "1198800000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1198800000000",
    "number": "1306020169",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8919 HICKORY HILL AVE",
            "city": "LANHAM",
            "state": "MD",
            "postal_code": "207062851",
            "telephone_number": "301-577-2999",
            "fax_number": "301-577-3771"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8919 HICKORY HILL AVE",
            "city": "LANHAM",
            "state": "MD",
            "postal_code": "207062851",
            "telephone_number": "301-577-2999",
            "fax_number": "301-577-3771"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ANGEL ASSISTED LIVING",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-12-28",
        "last_updated": "2007-12-28",
        "status": "A",
        "authorized_official_last_name": "UGHIOVHE",
        "authorized_official_first_name": "ANGELINA",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "301-577-2999",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "MD",
            "license": "16ALO745",
            "primary": true
        },
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "MD",
            "license": "16AL0794",
            "primary": false
        },
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "MD",
            "license": "16AL454",
            "primary": false
        },
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "MD",
            "license": "16AL0843",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0026425-02",
            "state": "MD"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "989401200",
            "state": "MD"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "989401201",
            "state": "MD"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "002642501",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lanham, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 28, 2007; 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.