Healthcare Provider Details

I. General information

NPI: 1063322972
Provider Name (Legal Business Name): ANGELS EVERYWHERE, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/11/2026
Last Update Date: 09/11/2026
Certification Date: 09/11/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7409 BATH ST
SPRINGFIELD VA
22150-3802
US

IV. Provider business mailing address

7409 BATH ST
SPRINGFIELD VA
22150-3802
US

V. Phone/Fax

Practice location:
  • Phone: 571-295-4602
  • Fax:
Mailing address:
  • Phone: 571-295-4602
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code372600000X
TaxonomyAdult Companion
License Number
License Number State

VIII. Authorized Official

Name: JEFFREY ELLIOTT-SAMPSON
Title or Position: CEO
Credential:
Phone: 571-295-4602