Organization Active NPI

Angela'S House Residential Care, LLC

  • Home Health Agency
  • Detroit, MI
National Provider Identifier
1992387609
Registry record updated Apr 22, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
ANGELA'S HOUSE RESIDENTIAL CARE, LLC
Practice address
18641 Greenfield Rd
Detroit, MI 48235-2918
Phone
(586) 506-0641
NPI assigned
Apr 22, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 22, 2021

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

Authorized official

Name
Mrs. Janelle Latrice Johnson
Title
Member
Phone
(586) 506-0641

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary

Addresses

Primary practice location

18641 Greenfield Rd
Detroit, MI 48235-2918

Mailing address

12245 Beech Daly Rd Unit 40426
Redford, MI 48240-3218
Phone (586) 506-0641

Electronic endpoints 2

TypeEndpointUseAffiliation
CONNECT URL arc
CONNECT URL laptop

National Provider Directory

National Provider Directory

Locations

12245 Beech Daly Rd
Unit 40426
Redford, MI 48240

NPI Registry JSON

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

{
    "created_epoch": "1619049600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1619049600000",
    "number": "1992387609",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12245 BEECH DALY RD UNIT 40426",
            "city": "REDFORD",
            "state": "MI",
            "postal_code": "482403218",
            "telephone_number": "586-506-0641"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18641 GREENFIELD RD",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482352918",
            "telephone_number": "586-506-0641"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ANGELA'S HOUSE RESIDENTIAL CARE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-04-22",
        "last_updated": "2021-04-22",
        "certification_date": "2021-04-22",
        "status": "A",
        "authorized_official_last_name": "JOHNSON",
        "authorized_official_first_name": "JANELLE",
        "authorized_official_middle_name": "LATRICE",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "586-506-0641",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "arc",
            "affiliation": "N",
            "address_1": "18641 Greenfield Rd",
            "city": "Detroit",
            "state": "MI",
            "country_code": "US",
            "postal_code": "482352918",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "laptop",
            "affiliation": "N",
            "address_1": "18641 Greenfield Rd",
            "city": "Detroit",
            "state": "MI",
            "country_code": "US",
            "postal_code": "482352918",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Detroit, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 22, 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.