ANGEL GATE HEALTH SERVICES, LLC (NPI# 1750877452) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1750877452 |
| Entity Type | Organization |
| Organization Name | ANGEL GATE HEALTH SERVICES, LLC |
| Practice Address |
12403 Hatchway Ct Woodbridge VA 22192-2114 |
| Practice Telephone | 2024978947 |
| Enumeration Date | 2018-07-05 |
| Last Update Date | 2018-07-05 |
| Authorized Official Name | NICODEMUS MORFAW (ADMINISTRATOR) |
| Authorized Official Telephone | 2024978947 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251C00000X | Day Training, Developmentally Disabled Services | Agencies |
| Street Address |
12403 HATCHWAY CT |
| City | WOODBRIDGE |
| State | VA |
| Zip Code | 22192-2114 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245873645 | Ursula Jackson | Technician | 3500 Commission Ct, Woodbridge, VA 22192 | 2019-10-18 |
| 1205480779 | Ki Soo Park | Physical Therapy Assistant | 12825 Minnieville Road Suite 201, Lake Ridge, VA 22192 | 2019-08-01 |
| 1801448329 | Karen Lee Trivett | Specialist/Technologist, Other | 12584 Darby Brook Court, Woodbridge, VA 22192 | 2019-07-15 |
| 1407313166 | Nichele Amelia Thompson | Behavioral Analyst | 2731 Marblestone Dr, 101, Woodbridge, VA 22192 | 2019-02-28 |
| 1952877870 | Kimberly Ann Rojas Vazquez | Behavioral Analyst | 12531 Clipper Dr, Suite 203, Woodbridge, VA 22192 | 2018-10-18 |
| 1104391614 | Ykim Dental | Dentist | 2680 Optiz Blvd., Suite 120, Woodbridge, VA 22192 | 2018-10-11 |
| 1013418755 | Arm Transport | Non-emergency Medical Transport (VAN) | 13000 Harbor Center Dr Ste 132d, Woodbridge, VA 22192 | 2018-02-27 |
| 1811496813 | Francesca Nasi | Behavioral Analyst | 12531 Clipper Dr Ste 203, Woodbridge, VA 22192 | 2018-02-05 |
| 1942729504 | Bismark Transportation Service LLC | Non-emergency Medical Transport (VAN) | 12341 Woodlawn Court, Woodbridge, VA 22192 | 2017-09-14 |
| 1992226344 | Arm Baby Eldery Home Health LLC | Home Health | 13000 Harbor Center Dr # 312c, Woodbridge, VA 22192 | 2017-07-06 |
| Find all providers in zip 22192 | ||||
| Taxonomy Code | 251C00000X |
| Grouping | Agencies |
| Classification | Day Training, Developmentally Disabled Services |
| These agencies are authorized to provide day habilitation services to developmentally disabled individuals who live in their homes. The function of day habilitation is to assist an individual to acquire and maintain those life skills that enable the individual to cope more effectively with the demands of independent living. Also to raise the level of the individual's physical, mental, social, and vocational functioning. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871043323 | Tutoring By Design | Day Training, Developmentally Disabled Services | 4713 Dane Ridge Cir, Woodbridge, VA 22193-6519 | 2016-10-08 |
| 1316397565 | Dedicated Care Health Services Inc | Day Training, Developmentally Disabled Services | 5571 Saint Charles Dr, Woodbridge, VA 22193-3537 | 2016-06-20 |
| 1265753875 | Lifting As We Climb Community Services, LLC | Day Training, Developmentally Disabled Services | 3058 Ps Business Center Drive, Woodbridge, VA 22192 | 2010-06-17 |
| 1780903112 | Volunteers of America Chesapeake Inc. | Day Training, Developmentally Disabled Services | 14381 Hereford Rd, Woodbridge, VA 22193-2107 | 2010-05-25 |
| 1851416523 | Jireh Place LLC | Day Training, Developmentally Disabled Services | 2250 Scotch Ct, Woodbridge, VA 22191-4414 | 2007-03-20 |
| 1346398914 | Destiny Place LLC | Day Training, Developmentally Disabled Services | 5319 Sentry Ln, Woodbridge, VA 22193-3431 | 2007-01-08 |
| 1265580831 | Haynesview LLC | Day Training, Developmentally Disabled Services | 4502 Hanover Ct, Woodbridge, VA 22193-4712 | 2007-01-08 |
| 1902461437 | Cadely Care Services | Day Training, Developmentally Disabled Services | 44 Freeman St, Woodbridge, NJ 07095-3430 | 2019-05-09 |
| 1538724950 | Kobe Adesanya | Day Training, Developmentally Disabled Services | 188 Main St, Woodbridge, NJ 07095-1921 | 2019-05-01 |
| 1467542415 | The Arc of Greater Prince William/insight | Day Training, Developmentally Disabled Services | 13505 Hillendale Dr, Woodbridge, VA 22193-4716 | 2006-10-13 |
| Find all providers in WOODBRIDGE | ||||
| City | WOODBRIDGE |
| Zip Code | 22192 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.