Angel Nursing Homecare, Inc.

Primary specialty

Inpatient HospiceTaxonomy code 315D00000X

Legal business name

ANGEL NURSING HOMECARE, INC.

Practice address

9508 Claychin CT
Burke, VA 22015-4187

Phone

(703) 864-6617

Fax

(703) 636-5766

NPI assigned

May 18, 2010

Last updated

May 18, 2010By 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

Priyanka Khosla

Title

Ceo

Phone

(703) 864-6617

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1274140800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1274140800000",
    "number": "1831418656",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9508 CLAYCHIN CT",
            "city": "BURKE",
            "state": "VA",
            "postal_code": "220154187",
            "telephone_number": "703-864-6617",
            "fax_number": "703-636-5766"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9508 CLAYCHIN CT",
            "city": "BURKE",
            "state": "VA",
            "postal_code": "220154187",
            "telephone_number": "703-864-6617",
            "fax_number": "703-636-5766"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ANGEL NURSING HOMECARE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-05-18",
        "last_updated": "2010-05-18",
        "status": "A",
        "authorized_official_last_name": "KHOSLA",
        "authorized_official_first_name": "PRIYANKA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "703-864-6617"
    },
    "taxonomies": [
        {
            "code": "315D00000X",
            "taxonomy_group": "",
            "desc": "Hospice, Inpatient",
            "state": "VA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Inpatient Hospice in Burke, VA
• Providers in Burke, VA by specialty
• Inpatient Hospice in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 18, 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.