ANGEL WINGS HEALTHCARE LLC NPI 1245601442

NPI Information

NPI: 1245601442
Provider Name: ANGEL WINGS HEALTHCARE LLC
Classification: Hospice Care, Community Based - 251G00000X
Entity Type: Organization

CLIA Number: 45D2108372

Address:
1201 N WATSON RD STE 187
ARLINGTON, TX
ZIP 76006
Phone: (817) 583-6636
Get Directions

ANGEL WINGS HEALTHCARE LLC is a hospice care community based in Arlington, TX. ANGEL WINGS HEALTHCARE LLC NPI is 1245601442. The provider is registered as an organization entity type.

The provider's business location address is:

1201 N WATSON RD STE 187
ARLINGTON, TX
ZIP 76006-225
Phone: (817) 583-6636
Fax: (817) 538-9508

The provider's authorized official is Dorothea D Lee .
The authorized official title is Administrator/member and has the following contact phone number (817) 583-6636.

The CLIA number assigned to this NPI record is 45D2108372 - hospice with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 10/13/2015 and was last updated on 4/5/2024.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	251G00000X	Hospice Care, Community Based		251G00000X	TEXAS	Yes
2	251G00000X	Hospice Care, Community Based				No

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	018099	MEDICAID	TEXAS

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.

« Previous NPI

Next NPI »