Organization Active NPI

Purposeful Angels Home Health LLC

  • Home Health Agency
  • Tracy, CA
National Provider Identifier
1841054582
Registry record updated Feb 13, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
PURPOSEFUL ANGELS HOME HEALTH LLC
Practice address
902 N Central Ave Ste 205
Tracy, CA 95376-3963
Phone
(209) 362-0425
Fax
(209) 297-4319
NPI assigned
Feb 13, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 13, 2024

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

Authorized official

Name
Ade Olabanji
Title
Owner/ President
Phone
(510) 910-4033

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary

Addresses

Primary practice location

902 N Central Ave Ste 205
Tracy, CA 95376-3963

Mailing address

902 N Central Ave Ste 205
Tracy, CA 95376-3963

National Provider Directory

National Provider Directory

Locations

902 N Central Ave
Ste 205
Tracy, CA 95376
Phone (209) 362-0425

NPI Registry JSON

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

{
    "created_epoch": "1707782400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1707782400000",
    "number": "1841054582",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "902 N CENTRAL AVE STE 205",
            "city": "TRACY",
            "state": "CA",
            "postal_code": "953763963"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "902 N CENTRAL AVE STE 205",
            "city": "TRACY",
            "state": "CA",
            "postal_code": "953763963",
            "telephone_number": "209-362-0425",
            "fax_number": "209-297-4319"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PURPOSEFUL ANGELS HOME HEALTH LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-02-13",
        "last_updated": "2024-02-13",
        "certification_date": "2024-02-13",
        "status": "A",
        "authorized_official_last_name": "OLABANJI",
        "authorized_official_first_name": "ADE",
        "authorized_official_title_or_position": "OWNER/ PRESIDENT",
        "authorized_official_telephone_number": "510-910-4033"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tracy, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 13, 2024; 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.