Angel Gate Health Services, LLC

Primary specialty

Developmentally Disabled Services Day Training AgencyTaxonomy code 251C00000X

Legal business name

ANGEL GATE HEALTH SERVICES, LLC

Practice address

12403 Hatchway CT
Woodbridge, VA 22192-2114

Phone

(202) 497-8947

NPI assigned

Jul 5, 2018

Organization subpart

No

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

Authorized official

Name

Nicodemus Morfaw

Title

Administrator

Phone

(202) 497-8947

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1530748800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1530748800000",
    "number": "1750877452",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12403 HATCHWAY CT",
            "city": "WOODBRIDGE",
            "state": "VA",
            "postal_code": "221922114"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12403 HATCHWAY CT",
            "city": "WOODBRIDGE",
            "state": "VA",
            "postal_code": "221922114",
            "telephone_number": "202-497-8947"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ANGEL GATE HEALTH SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-07-05",
        "last_updated": "2018-07-05",
        "status": "A",
        "authorized_official_last_name": "MORFAW",
        "authorized_official_first_name": "NICODEMUS",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "202-497-8947"
    },
    "taxonomies": [
        {
            "code": "251C00000X",
            "taxonomy_group": "",
            "desc": "Day Training, Developmentally Disabled Services",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Stephen Andrews, LCSW
• Marie Cass Andrus, LPTA
• Andy Anh the Ma DDS, PLLC
• Anew Hope, LLC
• Angel Gate Health Services LLC
• Angel Hands Dentistry PLLC
• Angel Hands Health Care Services Inc.
• Angelic Health Care Services LLC
• Bailey Angelino
• Angels of Hope Mental Health Center, LLC

• Developmentally Disabled Services Day Training Agency in Woodbridge, VA
• Providers in Woodbridge, VA by specialty
• Developmentally Disabled Services Day Training Agency in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 5, 2018; 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.