Angels United Home Care LLC

Primary specialty

In Home Supportive Care AgencyTaxonomy code 253Z00000X

Legal business name

ANGELS UNITED HOME CARE LLC

Practice address

2417 Anton Dr
Forney, TX 75126-2440

Phone

(469) 831-1777

NPI assigned

Jul 22, 2020

Organization subpart

No

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

Authorized official

Name

Kendria Nicole Edmonds

Title

Owner/Administrator

Phone

(469) 831-1777

Specialties & licenses 4

Addresses

Other identifiers 1

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

{
    "created_epoch": "1595376000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1595376000000",
    "number": "1518575869",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1952",
            "city": "FORNEY",
            "state": "TX",
            "postal_code": "751261952",
            "telephone_number": "469-831-1777"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2417 ANTON DR",
            "city": "FORNEY",
            "state": "TX",
            "postal_code": "751262440",
            "telephone_number": "469-831-1777"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ANGELS UNITED HOME CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-07-22",
        "last_updated": "2020-07-22",
        "certification_date": "2020-07-22",
        "status": "A",
        "authorized_official_last_name": "EDMONDS",
        "authorized_official_first_name": "KENDRIA",
        "authorized_official_middle_name": "NICOLE",
        "authorized_official_title_or_position": "OWNER/ADMINISTRATOR",
        "authorized_official_telephone_number": "469-831-1777"
    },
    "taxonomies": [
        {
            "code": "222Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Developmental Therapist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2255A2300X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2279H0200X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Respiratory Therapist, Registered, Home Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Godwin Amen
• American Regenesis Home Healthcare Professionals LLC (American Regenesis Health)
• Retta Anderson
• Anene Enterprise LLC
• Anene Enterprise LLC
• Annel Healthcare Services,LLC
• Anointed Bethel Health Care Services LLC
• Tanya Jean Antonisse-Irwin, MS CCC-SLP
• Williams Kofi Antwi Boasiako, LPC
• Janley D Appleton, CPNP

• In Home Supportive Care Agency in Forney, TX
• Providers in Forney, TX by specialty
• In Home Supportive Care Agency in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 22, 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.