Organization Active NPI

Angels Mission Home Care Services LLC

  • Home Health Agency
  • Stafford, VA
National Provider Identifier
1316419740
Registry record updated Oct 5, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
ANGELS MISSION HOME CARE SERVICES LLC
Practice address
46 Willow Glen CT
Stafford, VA 22554-8208
Phone
(540) 720-1006
Fax
(540) 720-1001
NPI assigned
Dec 25, 2018
Last updated
Oct 5, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 5, 2022

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

Authorized official

Name
Henry K Lukwago, ADMINISTRATORNPI 1316809106
Title
BSN-RN
Phone
(240) 547-7651

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 NU Primary

Addresses

Primary practice location

46 Willow Glen CT
Stafford, VA 22554-8208

Mailing address

1951 Gableridge Turn Apt 303
Woodbridge, VA 22191-1974
Phone (240) 547-7651

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
49D2271903Angels Mission Home Care Services LLC46 Willow Glen Court, Stafford, VA 22554Certificate of waiverNov 9, 2026

National Provider Directory

National Provider Directory

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": "1545696000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1664928000000",
    "number": "1316419740",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1951 GABLERIDGE TURN APT 303",
            "city": "WOODBRIDGE",
            "state": "VA",
            "postal_code": "221911974",
            "telephone_number": "240-547-7651"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "46 WILLOW GLEN CT",
            "city": "STAFFORD",
            "state": "VA",
            "postal_code": "225548208",
            "telephone_number": "540-720-1006",
            "fax_number": "540-720-1001"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ANGELS MISSION HOME CARE SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-12-25",
        "last_updated": "2022-10-05",
        "certification_date": "2022-10-05",
        "status": "A",
        "authorized_official_last_name": "LUKWAGO",
        "authorized_official_first_name": "HENRY",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "BSN-RN",
        "authorized_official_telephone_number": "240-547-7651",
        "authorized_official_credential": "ADMINISTRATOR"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Stafford, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 5, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.