Organization Active NPI

Angelic Life Care LLC

  • Case Manager/Care Coordinator
  • Houston, TX
National Provider Identifier
1962915645
Registry record updated Apr 15, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Case Manager/Care CoordinatorTaxonomy code 171M00000X
Legal business name
ANGELIC LIFE CARE LLC
Practice address
14515 Briarhills Pkwy Ste 208a
Houston, TX 77077-1034
Phone
(713) 429-2767
Fax
(888) 433-4788
NPI assigned
Nov 16, 2017
Last updated
Apr 15, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 15, 2022

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

Authorized official

Name
Dionna Brock RichardsonNPI 1043673965
Title
Ceo
Phone
(713) 429-2767

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility 320900000X NU
Child Intellectual and/or Developmental Disabilities Respite Care 385HR2060X NU
Case Manager/Care Coordinator 171M00000X NU Primary

Addresses

Primary practice location

14515 Briarhills Pkwy Ste 208a
Houston, TX 77077-1034

Mailing address

3536 Highway 6 # 185
Sugar Land, TX 77478-4401
Phone (713) 429-2767

Other practice location 1

3831 Addicks Clodine Rd
Houston, TX 77082-2903
Phone (713) 429-2767

National Provider Directory

National Provider Directory

Locations

14515 Briarhills Pkwy
Ste 208A
Houston, TX 77077
Phone (713) 429-2767

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1510790400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1649980800000",
    "number": "1962915645",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3536 HIGHWAY 6 # 185",
            "city": "SUGAR LAND",
            "state": "TX",
            "postal_code": "774784401",
            "telephone_number": "713-429-2767",
            "fax_number": "888-433-4788"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14515 BRIARHILLS PKWY STE 208A",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770771034",
            "telephone_number": "713-429-2767",
            "fax_number": "888-433-4788"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3831 Addicks Clodine Rd",
            "address_purpose": "LOCATION",
            "city": "Houston",
            "state": "TX",
            "postal_code": "770822903",
            "country_code": "US",
            "telephone_number": "713-429-2767",
            "fax_number": "888-433-4788",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "ANGELIC LIFE CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-11-16",
        "last_updated": "2022-04-15",
        "certification_date": "2022-04-15",
        "status": "A",
        "authorized_official_last_name": "RICHARDSON",
        "authorized_official_first_name": "DIONNA",
        "authorized_official_middle_name": "BROCK",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "713-429-2767"
    },
    "taxonomies": [
        {
            "code": "320900000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "385HR2060X",
            "taxonomy_group": "",
            "desc": "Respite Care, Respite Care, Intellectual and/or Developmental Disabilities, Child",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Houston, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 15, 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.