Active NPI
Astral Angels Health Agency
- Assisted Living Facility
- Fort Worth, TX
National Provider Identifier
1497507552
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Assisted Living Facility
- Legal business name
- ASTRAL ANGELS HEALTH AGENCY
- Practice address
- 1617 Park Place Ave Ste 101023
Fort Worth, TX 76110-1300 - Phone
- (682) 202-1467
- NPI assigned
- Apr 3, 2024
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Alize Watson
- Title
- Ceo
- Phone
- (682) 202-1467
Specialties & licenses 10
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Agency | 251E00000X | |||
| Community Based Hospice Care Agency | 251G00000X | |||
| In Home Supportive Care Agency | 253Z00000X | |||
| Health Service Clinic/Center | 261QH0100X | |||
| Primary Care Clinic/Center | 261QP2300X | |||
| Rehabilitation Clinic/Center | 261QR0400X | |||
| Assisted Living Facility | 310400000X | Primary | ||
| Skilled Nursing Facility | 314000000X | |||
| Non-emergency Medical Transport (VAN) | 343900000X | |||
| Respite Care | 385H00000X |
Addresses
Primary practice location
1617 Park Place Ave Ste 101023
Fort Worth, TX 76110-1300
Mailing address
1617 Park Place Ave Ste 101023
Fort Worth, TX 76110-1300
National Provider Directory
National Provider DirectoryLocations
1617 Park Place Ave
Ste 101023
Fort Worth, TX 76110
Phone (682) 202-1467
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1712102400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1712102400000",
"number": "1497507552",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1617 PARK PLACE AVE STE 101023",
"city": "FORT WORTH",
"state": "TX",
"postal_code": "761101300"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1617 PARK PLACE AVE STE 101023",
"city": "FORT WORTH",
"state": "TX",
"postal_code": "761101300",
"telephone_number": "682-202-1467"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ASTRAL ANGELS HEALTH AGENCY",
"organizational_subpart": "NO",
"enumeration_date": "2024-04-03",
"last_updated": "2024-04-03",
"certification_date": "2024-04-03",
"status": "A",
"authorized_official_last_name": "WATSON",
"authorized_official_first_name": "ALIZE",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "682-202-1467"
},
"taxonomies": [
{
"code": "251E00000X",
"taxonomy_group": "",
"desc": "Home Health",
"state": null,
"license": null,
"primary": false
},
{
"code": "251G00000X",
"taxonomy_group": "",
"desc": "Hospice Care, Community Based",
"state": null,
"license": null,
"primary": false
},
{
"code": "253Z00000X",
"taxonomy_group": "",
"desc": "In Home Supportive Care",
"state": null,
"license": null,
"primary": false
},
{
"code": "261QH0100X",
"taxonomy_group": "",
"desc": "Clinic/Center, Health Service",
"state": null,
"license": null,
"primary": false
},
{
"code": "261QP2300X",
"taxonomy_group": "",
"desc": "Clinic/Center, Primary Care",
"state": null,
"license": null,
"primary": false
},
{
"code": "261QR0400X",
"taxonomy_group": "",
"desc": "Clinic/Center, Rehabilitation",
"state": null,
"license": null,
"primary": false
},
{
"code": "310400000X",
"taxonomy_group": "",
"desc": "Assisted Living Facility",
"state": null,
"license": null,
"primary": true
},
{
"code": "314000000X",
"taxonomy_group": "",
"desc": "Skilled Nursing Facility",
"state": null,
"license": null,
"primary": false
},
{
"code": "343900000X",
"taxonomy_group": "",
"desc": "Non-emergency Medical Transport (VAN)",
"state": null,
"license": null,
"primary": false
},
{
"code": "385H00000X",
"taxonomy_group": "",
"desc": "Respite Care",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Fort Worth, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 3, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.