Provider Demographics
NPI:1205368388
Name:VISITING ANGELS
Entity Type:Organization
Organization Name:VISITING ANGELS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:MARIE GINA
Authorized Official - Middle Name:
Authorized Official - Last Name:PANGLE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:703-291-1262
Mailing Address - Street 1:2106-E GALLOWS RD
Mailing Address - Street 2:
Mailing Address - City:VIENNA
Mailing Address - State:VA
Mailing Address - Zip Code:22182
Mailing Address - Country:US
Mailing Address - Phone:703-291-1262
Mailing Address - Fax:703-291-4974
Practice Address - Street 1:2106-E GALLOWS RD
Practice Address - Street 2:
Practice Address - City:VIENNA
Practice Address - State:VA
Practice Address - Zip Code:22182
Practice Address - Country:US
Practice Address - Phone:703-291-1262
Practice Address - Fax:703-291-4974
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-03-29
Last Update Date:2017-03-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
No305S00000XManaged Care OrganizationsPoint of Service
No385H00000XRespite Care FacilityRespite Care
Provider Identifiers
StateIdentifier IDID TypeIssuer
VA0153457566Medicaid
VA0167596789Medicaid
VA0103332117Medicaid