Healthcare Provider Details

I. General information

NPI: 1124808852
Provider Name (Legal Business Name): ANGELS HANDS HOME CARE LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/02/2023
Last Update Date: 04/07/2025
Certification Date: 04/07/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6200 N KINGS HWY APT 340
ALEXANDRIA VA
22303-2918
US

IV. Provider business mailing address

6200 N KINGS HWY APT 340
ALEXANDRIA VA
22303-2918
US

V. Phone/Fax

Practice location:
  • Phone: 703-296-6853
  • Fax:
Mailing address:
  • Phone: 703-296-6853
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code253Z00000X
TaxonomyIn Home Supportive Care Agency
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code3747A0650X
TaxonomyAttendant Care Provider
License Number
License Number State

VIII. Authorized Official

Name: MS. GIFTY OPOKU
Title or Position: ADMINISTRATOR
Credential:
Phone: 703-296-6853