Organization Active NPI

My Angels Home Care LLC

  • In Home Supportive Care Agency
  • Philadelphia, PA
National Provider Identifier
1669123147
Registry record updated Dec 20, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
Legal business name
MY ANGELS HOME CARE LLC
Practice address
6300 Theodore St FL 1
Philadelphia, PA 19142-3116
Phone
(267) 582-2920
Fax
(215) 330-4499
NPI assigned
Jan 15, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 20, 2024

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

Authorized official

Name
Zaniab Johnson
Title
Ceo
Phone
(267) 582-2920

Specialties & licenses 1

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

Addresses

Primary practice location

6300 Theodore St FL 1
Philadelphia, PA 19142-3116

Mailing address

6300 Theodore St FL 1
Philadelphia, PA 19142-3116
Phone (267) 582-2920

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1642204800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1734652800000",
    "number": "1669123147",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6300 THEODORE ST FL 1",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191423116",
            "telephone_number": "267-582-2920",
            "fax_number": "215-330-4499"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6300 THEODORE ST FL 1",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191423116",
            "telephone_number": "267-582-2920",
            "fax_number": "215-330-4499"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MY ANGELS HOME CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-01-15",
        "last_updated": "2024-12-20",
        "certification_date": "2024-12-20",
        "status": "A",
        "authorized_official_last_name": "JOHNSON",
        "authorized_official_first_name": "ZANIAB",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "267-582-2920"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Philadelphia, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 20, 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.