Angelic Health Care Services LLC

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Legal business name

ANGELIC HEALTH CARE SERVICES LLC

Practice address

3177 Barbeque PL
Woodbridge, VA 22193-8529

Phone

(703) 962-8942

NPI assigned

Sep 15, 2025

Organization subpart

No

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

Authorized official

Name

Mr. Kobina Poku Odum

Title

Administrator

Phone

(571) 359-1202

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1757894400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1757894400000",
    "number": "1962373795",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17325 ROCKY MOUNT LN",
            "city": "DUMFRIES",
            "state": "VA",
            "postal_code": "220263302",
            "telephone_number": "571-359-1202",
            "fax_number": "571-359-1202"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3177 BARBEQUE PL",
            "city": "WOODBRIDGE",
            "state": "VA",
            "postal_code": "221938529",
            "telephone_number": "703-962-8942"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ANGELIC HEALTH CARE SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-09-15",
        "last_updated": "2025-09-15",
        "certification_date": "2025-09-15",
        "status": "A",
        "authorized_official_last_name": "ODUM",
        "authorized_official_first_name": "KOBINA",
        "authorized_official_middle_name": "POKU",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "571-359-1202",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "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 Sep 15, 2025; 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.