NPIMap

Organization Active NPI

Arc Angel MRM Home Care Services

  • Home Health Aide
  • Springfield, VA
National Provider Identifier
1609565761
Registry record updated May 4, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AideTaxonomy code 374U00000X
Legal business name
ARC ANGEL MRM HOME CARE SERVICES
Practice address
7109 Kerr Dr
Springfield, VA 22150-3635
Phone
(703) 647-0103
NPI assigned
May 4, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 4, 2023

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

Authorized official

Name
Mr. Ricky P Magallanes
Title
Owner
Phone
(703) 647-0103

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health AideGroup: 193200000X MULTI-SPECIALTY GROUP 374U00000X Primary

Addresses

Primary practice location

7109 Kerr Dr
Springfield, VA 22150-3635

Mailing address

7109 Kerr Dr
Springfield, VA 22150-3635
Phone (703) 647-0103

Other names 1

  • Arc Angel Home Care Other name

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1683158400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1683158400000",
    "number": "1609565761",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7109 KERR DR",
            "city": "SPRINGFIELD",
            "state": "VA",
            "postal_code": "221503635",
            "telephone_number": "703-647-0103"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7109 KERR DR",
            "city": "SPRINGFIELD",
            "state": "VA",
            "postal_code": "221503635",
            "telephone_number": "703-647-0103"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ARC ANGEL MRM HOME CARE SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-05-04",
        "last_updated": "2023-05-04",
        "certification_date": "2023-05-04",
        "status": "A",
        "authorized_official_last_name": "MAGALLANES",
        "authorized_official_first_name": "RICKY",
        "authorized_official_middle_name": "P",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "703-647-0103",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "374U00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Home Health Aide",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Arc Angel Home Care",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Springfield, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 4, 2023; 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.