Angelic Homes LLC

Primary specialty

Psychiatric Residential Treatment FacilityTaxonomy code 323P00000X

Legal business name

ANGELIC HOMES LLC

Practice address

2869 E Isaiah Ave
Gilbert, AZ 85298-8776

Phone

(480) 231-0607

NPI assigned

Mar 23, 2019

Organization subpart

No

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

Authorized official

Name

Ms. Gladys Nakuna-CHI

Title

Nurse

Phone

(480) 231-0607

Specialties & licenses 1

Addresses

Other identifiers 1

Tax ID family

Angelic Homes LLC2 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.

• Angelic Homes LLC

  • Substance Abuse Rehabilitation Facility
  • Queen Creek, AZ
  • NPI 1730849837
  NPD tax ID

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

{
    "created_epoch": "1553299200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1560211200000",
    "number": "1649730730",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2869 E ISAIAH AVE",
            "city": "GILBERT",
            "state": "AZ",
            "postal_code": "852988776"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2869 E ISAIAH AVE",
            "city": "GILBERT",
            "state": "AZ",
            "postal_code": "852988776",
            "telephone_number": "480-231-0607"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ANGELIC HOMES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-03-23",
        "last_updated": "2019-06-11",
        "status": "A",
        "authorized_official_last_name": "NAKUNA-CHI",
        "authorized_official_first_name": "GLADYS",
        "authorized_official_title_or_position": "NURSE",
        "authorized_official_telephone_number": "480-231-0607",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "323P00000X",
            "taxonomy_group": "",
            "desc": "Psychiatric Residential Treatment Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AZ DEPARTMENT OF HEALTH SERVICES",
            "identifier": "BH5618",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Psychiatric Residential Treatment Facility in Gilbert, AZ
• Providers in Gilbert, AZ by specialty
• Psychiatric Residential Treatment Facility in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 2019; 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.