Angela Renee Kearns-Mack

Primary specialty

Personal Care AttendantTaxonomy code 3747P1801X

Practice address

11620 Cygnet Dr
Waldorf, MD 20601-2623

Phone

(877) 659-4500

Fax

(888) 972-3891

NPI assigned

Mar 10, 2026

Last updated

Mar 11, 2026By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1773100800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1773187200000",
    "number": "1316893399",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11620 CYGNET DR",
            "city": "WALDORF",
            "state": "MD",
            "postal_code": "206012623",
            "telephone_number": "877-659-4500",
            "fax_number": "888-972-3891"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11620 CYGNET DR",
            "city": "WALDORF",
            "state": "MD",
            "postal_code": "206012623",
            "telephone_number": "877-659-4500",
            "fax_number": "888-972-3891"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KEARNS-MACK",
        "first_name": "ANGELA",
        "middle_name": "RENEE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2026-03-10",
        "last_updated": "2026-03-11",
        "certification_date": "2026-03-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "3747P1801X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Technician, Personal Care Attendant",
            "state": "DC",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Personal Care Attendant in Waldorf, MD
• Providers in Waldorf, MD by specialty
• Personal Care Attendant in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 11, 2026; 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.