Organization Active NPI

Holistic Angel'S Care LLC

  • In Home Supportive Care Agency
  • Herndon, VA
National Provider Identifier
1699204255
Registry record updated Jun 7, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
Legal business name
HOLISTIC ANGEL'S CARE LLC
Practice address
2528 Terra Cotta Cir
Herndon, VA 20171-4698
Phone
(800) 225-9361
NPI assigned
Jun 7, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 7, 2017

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

Authorized official

Name
Mr. Rigo Mukanza
Title
General Manager
Phone
(703) 832-7411

Specialties & licenses 1

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

Addresses

Primary practice location

2528 Terra Cotta Cir
Herndon, VA 20171-4698

Mailing address

5852 Post Corners TRL Apt K
Centreville, VA 20120-6328

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1496793600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1496793600000",
    "number": "1699204255",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5852 POST CORNERS TRL APT K",
            "city": "CENTREVILLE",
            "state": "VA",
            "postal_code": "201206328"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2528 TERRA COTTA CIR",
            "city": "HERNDON",
            "state": "VA",
            "postal_code": "201714698",
            "telephone_number": "800-225-9361"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOLISTIC ANGEL'S CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-06-07",
        "last_updated": "2017-06-07",
        "status": "A",
        "authorized_official_last_name": "MUKANZA",
        "authorized_official_first_name": "RIGO",
        "authorized_official_title_or_position": "GENERAL MANAGER",
        "authorized_official_telephone_number": "703-832-7411",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": "VA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Herndon, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 7, 2017; 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.