Organization Active NPI

D'Angel of Fayeth Home Care, LLC

  • Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
  • Lancaster, TX
National Provider Identifier
1669200358
Registry record updated Jul 24, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Intellectual and/or Developmental Disabilities Community Based Residential Treatment FacilityTaxonomy code 320900000X
Legal business name
D'ANGEL OF FAYETH HOME CARE, LLC
Practice address
2143 Fair Weather Dr
Lancaster, TX 75146-4934
Phone
(469) 437-1956
NPI assigned
Jul 24, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 24, 2024

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

Authorized official

Name
Mrs. Stacey WatsonNPI 1699549543
Title
Program Manager
Phone
(469) 437-1956

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility 320900000X Primary

Addresses

Primary practice location

2143 Fair Weather Dr
Lancaster, TX 75146-4934

Mailing address

2143 Fair Weather Dr
Lancaster, TX 75146-4934
Phone (469) 437-1956

National Provider Directory

National Provider Directory
Tax ID family
D'Angel of Fayeth Home Care 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.

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": "1721779200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1721779200000",
    "number": "1669200358",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2143 FAIR WEATHER DR",
            "city": "LANCASTER",
            "state": "TX",
            "postal_code": "751464934",
            "telephone_number": "469-437-1956"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2143 FAIR WEATHER DR",
            "city": "LANCASTER",
            "state": "TX",
            "postal_code": "751464934",
            "telephone_number": "469-437-1956"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "D'ANGEL OF FAYETH HOME CARE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-07-24",
        "last_updated": "2024-07-24",
        "certification_date": "2024-07-24",
        "status": "A",
        "authorized_official_last_name": "WATSON",
        "authorized_official_first_name": "STACEY",
        "authorized_official_title_or_position": "PROGRAM MANAGER",
        "authorized_official_telephone_number": "469-437-1956",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "320900000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lancaster, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 24, 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.