Angel Home Care, LLC

Primary specialty

In Home Supportive Care AgencyTaxonomy code 253Z00000X

Legal business name

ANGEL HOME CARE, LLC

Practice address

1850 Graymount Way
Edgewood, MD 21040-3011

Phone

(225) 726-9705

NPI assigned

May 26, 2022

Last updated

May 26, 2022By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Afiouq E Johnson

Title

Ceo/Founder

Phone

(225) 726-9705

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1653523200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1653523200000",
    "number": "1801534086",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1850 GRAYMOUNT WAY",
            "city": "EDGEWOOD",
            "state": "MD",
            "postal_code": "210403011",
            "telephone_number": "225-726-9705"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1850 GRAYMOUNT WAY",
            "city": "EDGEWOOD",
            "state": "MD",
            "postal_code": "210403011",
            "telephone_number": "225-726-9705"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ANGEL HOME CARE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-05-26",
        "last_updated": "2022-05-26",
        "certification_date": "2022-05-26",
        "status": "A",
        "authorized_official_last_name": "JOHNSON",
        "authorized_official_first_name": "AFIOUQ",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "CEO/FOUNDER",
        "authorized_official_telephone_number": "225-726-9705"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 26, 2022; 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.