Organization Active NPI

Compassionate Angels Healthcare LLC

  • Pain Clinic/Center
  • Temple Hills, MD
National Provider Identifier
1649996844
Registry record updated Oct 19, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pain Clinic/CenterTaxonomy code 261QP3300X
Legal business name
COMPASSIONATE ANGELS HEALTHCARE LLC
Practice address
2320 Iverson St Ste 200
Temple Hills, MD 20748-6801
Phone
(240) 788-7439
Fax
(240) 619-2862
NPI assigned
Oct 19, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 19, 2022

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

Authorized official

Name
Esther Ozor, NURSE PRACTITIONERNPI 1538665294
Title
Nurse Practitioner
Phone
(240) 788-7439

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Pain Clinic/Center 261QP3300X Primary
Family Nurse PractitionerGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 363LF0000X
Primary Care Nurse PractitionerGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 363LP2300X

Addresses

Primary practice location

2320 Iverson St Ste 200
Temple Hills, MD 20748-6801

Mailing address

2320 Iverson St Ste 200
Temple Hills, MD 20748-6801
Phone (240) 788-7439

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20230322001556 DC Part B Supplier - Clinic/Group Practice 5597139196 Receives reassigned benefits from 1 practitioner
Practice locations: Temple Hills, MD

National Provider Directory

National Provider Directory

Locations

2320 Iverson St
Ste 200
Temple Hills, MD 20748
Phone (240) 788-7439

2320 Iverson St
Temple Hills, MD 20748
Phone (240) 563-1164

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": "1666137600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1666137600000",
    "number": "1649996844",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2320 IVERSON ST STE 200",
            "city": "TEMPLE HILLS",
            "state": "MD",
            "postal_code": "207486801",
            "telephone_number": "240-788-7439",
            "fax_number": "240-619-2862"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2320 IVERSON ST STE 200",
            "city": "TEMPLE HILLS",
            "state": "MD",
            "postal_code": "207486801",
            "telephone_number": "240-788-7439",
            "fax_number": "240-619-2862"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMPASSIONATE ANGELS HEALTHCARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-10-19",
        "last_updated": "2022-10-19",
        "certification_date": "2022-10-18",
        "status": "A",
        "authorized_official_last_name": "OZOR",
        "authorized_official_first_name": "ESTHER",
        "authorized_official_title_or_position": "NURSE PRACTITIONER",
        "authorized_official_telephone_number": "240-788-7439",
        "authorized_official_credential": "NURSE PRACTITIONER"
    },
    "taxonomies": [
        {
            "code": "261QP3300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Pain",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363LP2300X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Primary Care",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Temple Hills, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 19, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.