Angel Wings Assisted Llving Home Care LLC

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

Legal business name

ANGEL WINGS ASSISTED LLVING HOME CARE LLC

Practice address

19 Garden Park Cir NW
Albuquerque, NM 87107-2655

Phone

(505) 312-8674

NPI assigned

Dec 13, 2021

Organization subpart

No

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

Authorized official

Name

Gretchen Marie Valencia, RN

Title

Owner

Phone

(505) 610-1009

Specialties & licenses 2

Addresses

Other identifiers 1

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

{
    "created_epoch": "1639353600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1639353600000",
    "number": "1477212876",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19 GARDEN PARK CIR NW",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871072655",
            "telephone_number": "505-610-1009"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19 GARDEN PARK CIR NW",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871072655",
            "telephone_number": "505-312-8674"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ANGEL WINGS ASSISTED LLVING HOME CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-12-13",
        "last_updated": "2021-12-13",
        "certification_date": "2021-12-13",
        "status": "A",
        "authorized_official_last_name": "VALENCIA",
        "authorized_official_first_name": "GRETCHEN",
        "authorized_official_middle_name": "MARIE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "505-610-1009",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "2257",
            "state": "NM"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Anew Mind Behavioral Counseling LLC
• Allan Anfinson
• Karlyn Gansel Ang, O.D.
• Angel Touch Personal Care, Inc.
• Angel Wings
• Aimelda Mariel Angel, LMHC
• Diane E. Nash Angel, M.A.
• Evangelina Angel
• Gary Lee Angel
• Jennifer Marie Angel

• Assisted Living Facility in Albuquerque, NM
• Providers in Albuquerque, NM by specialty
• Assisted Living Facility in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 13, 2021; 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.