Angel Group Agency

Primary specialty

Intellectual and/or Developmental Disabilities Community Based Residential Treatment FacilityTaxonomy code 320900000X

Legal business name

ANGEL GROUP AGENCY

Practice address

7595 W Vassar Ave
Lakewood, CO 80227-3306

Phone

(303) 570-3053

NPI assigned

May 6, 2019

Organization subpart

No

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

Authorized official

Name

Junou Cheng

Title

Director

Phone

(303) 570-3053

Specialties & licenses 1

Addresses

Other names 1

• no Former legal business name

Electronic endpoints 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• David Hope Mitchell, PHD

  • Case Manager/Care Coordinator
  • Lakewood, CO
  • NPI 1861093767
  NPD (past)

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

{
    "created_epoch": "1557100800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1635292800000",
    "number": "1891350872",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7595 W VASSAR AVE",
            "city": "LAKEWOOD",
            "state": "CO",
            "postal_code": "802273306",
            "telephone_number": "303-570-3053"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7595 W VASSAR AVE",
            "city": "LAKEWOOD",
            "state": "CO",
            "postal_code": "802273306",
            "telephone_number": "303-570-3053"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ANGEL GROUP AGENCY",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-05-06",
        "last_updated": "2021-10-27",
        "certification_date": "2021-10-27",
        "status": "A",
        "authorized_official_last_name": "CHENG",
        "authorized_official_first_name": "JUNOU",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "303-570-3053"
    },
    "taxonomies": [
        {
            "code": "320900000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "info@angelgroupagency.org",
            "affiliation": "N",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "address_1": "7595 W Vassar Ave",
            "city": "Lakewood",
            "state": "CO",
            "country_code": "US",
            "postal_code": "802273306",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "no",
            "code": "4",
            "type": "Former Legal Business Name"
        },
        {
            "organization_name": "no",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

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• All providers in Lakewood, CO
• Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 27, 2021; 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.