NPIMap

Organization Active NPI

Angels of Hope Mental Health Center, LLC

  • Community/Behavioral Health Agency
  • Woodbridge, VA
National Provider Identifier
1669789780
Registry record updated Sep 10, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
1423-05-001 Issued in VA
Legal business name
ANGELS OF HOPE MENTAL HEALTH CENTER, LLC
Practice address
4736 Kirkdale Dr
Woodbridge, VA 22193-4840
Phone
(703) 680-9527
Fax
(703) 680-9527
NPI assigned
Sep 10, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 10, 2010

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

Authorized official

Name
Mr. Emilio Martin Rodriguez
Title
Coo
Phone
(703) 822-1774

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X 1423-05-001 VA Primary

Addresses

Primary practice location

4736 Kirkdale Dr
Woodbridge, VA 22193-4840

Mailing address

4736 Kirkdale Dr
Woodbridge, VA 22193-4840

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1284076800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1284076800000",
    "number": "1669789780",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4736 KIRKDALE DR",
            "city": "WOODBRIDGE",
            "state": "VA",
            "postal_code": "221934840"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4736 KIRKDALE DR",
            "city": "WOODBRIDGE",
            "state": "VA",
            "postal_code": "221934840",
            "telephone_number": "703-680-9527",
            "fax_number": "703-680-9527"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ANGELS OF HOPE MENTAL HEALTH CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-09-10",
        "last_updated": "2010-09-10",
        "status": "A",
        "authorized_official_last_name": "RODRIGUEZ",
        "authorized_official_first_name": "EMILIO",
        "authorized_official_middle_name": "MARTIN",
        "authorized_official_title_or_position": "COO",
        "authorized_official_telephone_number": "703-822-1774",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "VA",
            "license": "1423-05-001",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Woodbridge, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 2010; 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.