NPIMap

Organization Active NPI

Angel Health Services LLC

  • Home Health Agency
  • Brooklyn Park, MN
National Provider Identifier
1316223787
Registry record updated Nov 3, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
355310 Issued in MN
Legal business name
ANGEL HEALTH SERVICES LLC
Practice address
2609 87TH TRL N
Brooklyn Park, MN 55443-3742
Phone
(763) 412-9921
NPI assigned
Oct 28, 2011
Last updated
Nov 3, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 3, 2011

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

Authorized official

Name
Philip Onyeabor Uwagwu, RN
Title
Director
Phone
(763) 412-9921

Specialties & licenses 9

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X 355310 MN Primary
Nursing Care Agency 251J00000X 355310 MN
Nursing Facility Supplies (DME) 332BN1400X
Nursing Facility Supplies (DME) 332BN1400X 355310 MN
Parenteral & Enteral Nutrition Supplies (DME) 332BP3500X
Parenteral & Enteral Nutrition Supplies (DME) 332BP3500X 355310 MN
In Home Supportive Care Agency 253Z00000X
In Home Supportive Care Agency 253Z00000X 355310 MN
Medical Foods Supplier 335G00000X 355310 MN

Addresses

Primary practice location

2609 87TH TRL N
Brooklyn Park, MN 55443-3742

Mailing address

2609 87TH TRL N
Brooklyn Park, MN 55443-3742
Phone (763) 412-9921

National Provider Directory

National Provider Directory
Tax ID family
Angel Health Services LLC2 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.

Ownership & related parties

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1319760000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1320278400000",
    "number": "1316223787",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2609 87TH TRL N",
            "city": "BROOKLYN PARK",
            "state": "MN",
            "postal_code": "554433742",
            "telephone_number": "763-412-9921"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2609 87TH TRL N",
            "city": "BROOKLYN PARK",
            "state": "MN",
            "postal_code": "554433742",
            "telephone_number": "763-412-9921"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ANGEL HEALTH SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-10-28",
        "last_updated": "2011-11-03",
        "status": "A",
        "authorized_official_last_name": "UWAGWU",
        "authorized_official_first_name": "PHILIP",
        "authorized_official_middle_name": "ONYEABOR",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "763-412-9921",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "MN",
            "license": "355310",
            "primary": true
        },
        {
            "code": "251J00000X",
            "taxonomy_group": "",
            "desc": "Nursing Care",
            "state": "MN",
            "license": "355310",
            "primary": false
        },
        {
            "code": "332BN1400X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Nursing Facility Supplies",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "332BN1400X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Nursing Facility Supplies",
            "state": "MN",
            "license": "355310",
            "primary": false
        },
        {
            "code": "332BP3500X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Parenteral & Enteral Nutrition",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "332BP3500X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Parenteral & Enteral Nutrition",
            "state": "MN",
            "license": "355310",
            "primary": false
        },
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": "MN",
            "license": "355310",
            "primary": false
        },
        {
            "code": "335G00000X",
            "taxonomy_group": "",
            "desc": "Medical Foods Supplier",
            "state": "MN",
            "license": "355310",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn Park, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 3, 2011; 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.