Organization Active NPI

Angels of Comfort Care LC

  • In Home Supportive Care Agency
  • Little Elm, TX
National Provider Identifier
1578313474
Registry record updated Mar 25, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
Legal business name
ANGELS OF COMFORT CARE LC
Practice address
2329 Magnolia Dr
Little Elm, TX 75068-5680
Phone
(972) 391-3191
NPI assigned
Mar 25, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 25, 2024

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

Authorized official

Name
Matty Sandamuka, CAREGIVER
Title
Ceo
Phone
(972) 391-3191

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
In Home Supportive Care Agency 253Z00000X Primary

Addresses

Primary practice location

2329 Magnolia Dr
Little Elm, TX 75068-5680

Mailing address

2329 Magnolia Dr
Little Elm, TX 75068-5680
Phone (972) 391-3191

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1711324800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1711324800000",
    "number": "1578313474",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2329 MAGNOLIA DR",
            "city": "LITTLE ELM",
            "state": "TX",
            "postal_code": "750685680",
            "telephone_number": "972-391-3191"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2329 MAGNOLIA DR",
            "city": "LITTLE ELM",
            "state": "TX",
            "postal_code": "750685680",
            "telephone_number": "972-391-3191"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ANGELS OF COMFORT CARE LC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-03-25",
        "last_updated": "2024-03-25",
        "certification_date": "2024-03-24",
        "status": "A",
        "authorized_official_last_name": "SANDAMUKA",
        "authorized_official_first_name": "MATTY",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "972-391-3191",
        "authorized_official_credential": "CAREGIVER"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Little Elm, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 25, 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.

Verify at the official NPI Registry.