Active NPI
Angela'S House Residential Care, LLC
- Home Health Agency
- Detroit, MI
National Provider Identifier
1992387609
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Agency
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | arc | ||
| CONNECT URL | laptop |
National Provider Directory
National Provider DirectoryLocations
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.