Organization Active NPI

Angelic Home Health, LLC

  • Home Health Agency
  • Fort Worth, TX
National Provider Identifier
1992482152
Registry record updated Nov 13, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
ANGELIC HOME HEALTH, LLC
Practice address
10000 Crawford Farms Dr
Fort Worth, TX 76244-6630
Phone
(817) 500-5541
NPI assigned
Jun 29, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 13, 2023

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

Authorized official

Name
Otto Rodas
Title
President/Admin/Don
Phone
(817) 500-5541

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary
In Home Supportive Care Agency 253Z00000X
Personal Care AttendantGroup: 193200000X MULTI-SPECIALTY GROUP 3747P1801X

Addresses

Primary practice location

10000 Crawford Farms Dr
Fort Worth, TX 76244-6630

Mailing address

10000 Crawford Farms Dr
Fort Worth, TX 76244-6630
Phone (817) 500-5541

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
45D2289787Angelic Home Health LLC10000 Crawford Farms Dr, Keller, TX 76244Certificate of waiverSep 14, 2027

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1687996800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1699833600000",
    "number": "1992482152",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10000 CRAWFORD FARMS DR",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "762446630",
            "telephone_number": "817-500-5541"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10000 CRAWFORD FARMS DR",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "762446630",
            "telephone_number": "817-500-5541"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ANGELIC HOME HEALTH, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-06-29",
        "last_updated": "2023-11-13",
        "certification_date": "2023-11-13",
        "status": "A",
        "authorized_official_last_name": "RODAS",
        "authorized_official_first_name": "OTTO",
        "authorized_official_title_or_position": "PRESIDENT/ADMIN/DON",
        "authorized_official_telephone_number": "817-500-5541"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3747P1801X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Technician, Personal Care Attendant",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Worth, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 13, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.