Organization Active NPI

Angels With Open Arms LLC

  • Home Health Agency
  • Upper Marlboro, MD
National Provider Identifier
1689338790
Registry record updated Oct 25, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
ANGELS WITH OPEN ARMS LLC
Practice address
716 Parev Way
Upper Marlboro, MD 20774-1690
Phone
(301) 364-7426
Fax
(301) 686-0709
NPI assigned
Oct 25, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 25, 2021

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

Authorized official

Name
Ms. Melissa Keyonda Dennis, CMT, MA
Title
Director
Phone
(301) 364-7426

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Case Manager/Care CoordinatorGroup: 193400000X SINGLE SPECIALTY GROUP 171M00000X
Home Health Agency 251E00000X Primary
Private Vehicle 347C00000X

Addresses

Primary practice location

716 Parev Way
Upper Marlboro, MD 20774-1690

Mailing address

716 Parev Way
Upper Marlboro, MD 20774-1690
Phone (301) 364-7426

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL uppermarlboro Direct

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1635120000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1635120000000",
    "number": "1689338790",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "716 PAREV WAY",
            "city": "UPPER MARLBORO",
            "state": "MD",
            "postal_code": "207741690",
            "telephone_number": "301-364-7426",
            "fax_number": "301-686-0709"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "716 PAREV WAY",
            "city": "UPPER MARLBORO",
            "state": "MD",
            "postal_code": "207741690",
            "telephone_number": "301-364-7426",
            "fax_number": "301-686-0709"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ANGELS WITH OPEN ARMS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-10-25",
        "last_updated": "2021-10-25",
        "certification_date": "2021-10-25",
        "status": "A",
        "authorized_official_last_name": "DENNIS",
        "authorized_official_first_name": "MELISSA",
        "authorized_official_middle_name": "KEYONDA",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "301-364-7426",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "CMT, MA"
    },
    "taxonomies": [
        {
            "code": "171M00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Case Manager/Care Coordinator",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "347C00000X",
            "taxonomy_group": "",
            "desc": "Private Vehicle",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "uppermarlboro",
            "affiliation": "N",
            "endpointDescription": "homecare",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "716 Parev Way",
            "city": "Upper Marlboro",
            "state": "MD",
            "country_code": "US",
            "postal_code": "207741690",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Upper Marlboro, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 25, 2021; 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.