Angelica House LLC

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

Legal business name

ANGELICA HOUSE LLC

Practice address

421 Glen Oaks Blvd
Dallas, TX 75232-2013

Phone

(972) 748-1726

Fax

(817) 585-4806

NPI assigned

Jan 12, 2013

Last updated

Jan 12, 2013By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Israel Mwesigwa

Title

Manager

Phone

(214) 263-2389

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1357948800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1357948800000",
    "number": "1538406392",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 171817",
            "city": "ARLINGTON",
            "state": "TX",
            "postal_code": "760031817",
            "telephone_number": "972-748-1726",
            "fax_number": "817-585-4806"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "421 GLEN OAKS BLVD",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752322013",
            "telephone_number": "972-748-1726",
            "fax_number": "817-585-4806"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ANGELICA HOUSE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-01-12",
        "last_updated": "2013-01-12",
        "status": "A",
        "authorized_official_last_name": "MWESIGWA",
        "authorized_official_first_name": "ISRAEL",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "214-263-2389",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Assisted Living Facility in Dallas, TX
• Providers in Dallas, TX by specialty
• Assisted Living Facility in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 12, 2013; 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.