Angels Residential Services, LLC

Primary specialty

Intellectual and/or Developmental Disabilities Residential Treatment FacilityTaxonomy code 320600000X

Legal business name

ANGELS RESIDENTIAL SERVICES, LLC

Practice address

12770 Ripple Creek CT Apt 2314
Woodbridge, VA 22192-6562

Phone

(703) 861-8038

NPI assigned

May 13, 2020

Organization subpart

No

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

Authorized official

Name

Mabinti KamaraNPI 1134685654

Title

Director

Phone

(703) 861-8038

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Mabinti Kamara, FNP-C

  • Family Nurse Practitioner
  • Woodbridge, VA
  • NPI 1134685654
  NPD Authorized official

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

{
    "created_epoch": "1589328000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1589328000000",
    "number": "1316569338",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12770 RIPPLE CREEK CT APT 2314",
            "city": "WOODBRIDGE",
            "state": "VA",
            "postal_code": "221926562",
            "telephone_number": "703-861-8038"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12770 RIPPLE CREEK CT APT 2314",
            "city": "WOODBRIDGE",
            "state": "VA",
            "postal_code": "221926562",
            "telephone_number": "703-861-8038"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ANGELS RESIDENTIAL SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-05-13",
        "last_updated": "2020-05-13",
        "certification_date": "2020-05-13",
        "status": "A",
        "authorized_official_last_name": "KAMARA",
        "authorized_official_first_name": "MABINTI",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "703-861-8038"
    },
    "taxonomies": [
        {
            "code": "320600000X",
            "taxonomy_group": "",
            "desc": "Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Intellectual and/or Developmental Disabilities Residential Treatment Facility in Woodbridge, VA
• Providers in Woodbridge, VA by specialty
• Intellectual and/or Developmental Disabilities Residential Treatment Facility in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 13, 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.