Angel Care LLC

Primary specialty

Adult Care Home FacilityTaxonomy code 311ZA0620X

Legal business name

ANGEL CARE LLC

Practice address

31650 Cowan Rd Apt 107
Westland, MI 48185-2390

Phone

(734) 743-5191

NPI assigned

Jul 27, 2013

Organization subpart

No

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

Authorized official

Name

Mr. Moore Wachuku

Title

Executive Director

Phone

(734) 743-5191

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1374883200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1374883200000",
    "number": "1306288600",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "31650 COWAN RD APT 107",
            "city": "WESTLAND",
            "state": "MI",
            "postal_code": "481852390"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "31650 COWAN RD APT 107",
            "city": "WESTLAND",
            "state": "MI",
            "postal_code": "481852390",
            "telephone_number": "734-743-5191"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ANGEL CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-07-27",
        "last_updated": "2013-07-27",
        "status": "A",
        "authorized_official_last_name": "WACHUKU",
        "authorized_official_first_name": "MOORE",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "734-743-5191",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "311ZA0620X",
            "taxonomy_group": "",
            "desc": "Custodial Care Facility, Adult Care Home",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Elizabeth Ann Anderson, REGISTERED NURSE
• Judith Ann Anderson, LMSW
• Nakia R Anderson, COUNSELOR
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• Adult Care Home Facility in Westland, MI
• Providers in Westland, MI by specialty
• Adult Care Home Facility in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 27, 2013; 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.