Organization Active NPI

Amazing Angel Home Care LLC

Doing business as Amazing Angel

  • Personal Care Attendant
  • Las Vegas, NV
National Provider Identifier
1376204230
Registry record updated Jan 4, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Personal Care AttendantTaxonomy code 3747P1801X
Legal business name
AMAZING ANGEL HOME CARE LLC
Doing business as
Amazing Angel
Practice address
2980 S Rainbow Blvd Ste 110C
Las Vegas, NV 89146-6531
Phone
(702) 580-0012
NPI assigned
Jan 4, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 4, 2022

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

Authorized official

Name
Danielle Del Rosario
Title
Administrator
Phone
(702) 496-0570

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Personal Care AttendantGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 3747P1801X Primary

Addresses

Primary practice location

2980 S Rainbow Blvd Ste 110C
Las Vegas, NV 89146-6531

Mailing address

2980 S Rainbow Blvd Ste 110C
Las Vegas, NV 89146-6531

Other names 1

  • AMAZING ANGEL Doing business as

National Provider Directory

National Provider Directory

Locations

2980 S Rainbow Blvd
Las Vegas, NV 89146
Phone (702) 580-0012

Practitioners & affiliated clinicians

Practitioners 2

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": "1641254400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1641254400000",
    "number": "1376204230",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2980 S RAINBOW BLVD STE 110C",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891466531"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2980 S RAINBOW BLVD STE 110C",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891466531",
            "telephone_number": "702-580-0012"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AMAZING ANGEL HOME CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-01-04",
        "last_updated": "2022-01-04",
        "certification_date": "2021-12-29",
        "status": "A",
        "authorized_official_last_name": "DEL ROSARIO",
        "authorized_official_first_name": "DANIELLE",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "702-496-0570"
    },
    "taxonomies": [
        {
            "code": "3747P1801X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Technician, Personal Care Attendant",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "AMAZING ANGEL",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Las Vegas, NV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 4, 2022; 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.