Organization Active NPI

Little Angel Care Home , LLC

  • Physical Disabilities Residential Treatment Facility
  • Sparks, NV
National Provider Identifier
1609087105
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Disabilities Residential Treatment FacilityTaxonomy code 320700000X
Legal business name
LITTLE ANGEL CARE HOME , LLC
Practice address
1436 Heaven Dr
Sparks, NV 89436-9307
Phone
(775) 626-8103
Fax
(775) 626-0464
NPI assigned
May 25, 2007
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Marilou A Reyes
Title
Owner
Phone
(775) 626-8103

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Disabilities Residential Treatment Facility 320700000X NV Primary

Addresses

Primary practice location

1436 Heaven Dr
Sparks, NV 89436-9307

Mailing address

1436 Heaven Dr
Sparks, NV 89436-9307
Phone (775) 626-8103

National Provider Directory

National Provider Directory
Tax ID family
Family Home Care2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1180051200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1609087105",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1436 HEAVEN DR",
            "city": "SPARKS",
            "state": "NV",
            "postal_code": "894369307",
            "telephone_number": "775-626-8103",
            "fax_number": "775-626-0464"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1436 HEAVEN DR",
            "city": "SPARKS",
            "state": "NV",
            "postal_code": "894369307",
            "telephone_number": "775-626-8103",
            "fax_number": "775-626-0464"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LITTLE ANGEL CARE HOME , LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-25",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "REYES",
        "authorized_official_first_name": "MARILOU",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "775-626-8103"
    },
    "taxonomies": [
        {
            "code": "320700000X",
            "taxonomy_group": "",
            "desc": "Residential Treatment Facility, Physical Disabilities",
            "state": "NV",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sparks, NV

Sources for this page

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