Provider Demographics
NPI:1235901489
Name:NGELE, ANGELINE KEMOGELO
Entity Type:Individual
Prefix:
First Name:ANGELINE
Middle Name:KEMOGELO
Last Name:NGELE
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:560 VALLEYWOOD RD
Mailing Address - Street 2:
Mailing Address - City:MILLERSVILLE
Mailing Address - State:MD
Mailing Address - Zip Code:21108-1617
Mailing Address - Country:US
Mailing Address - Phone:202-489-3862
Mailing Address - Fax:
Practice Address - Street 1:ONE CARE DC INC
Practice Address - Street 2:2501 GOOD HOPE RD SE
Practice Address - City:WASHINGTON DC
Practice Address - State:DC
Practice Address - Zip Code:20020
Practice Address - Country:US
Practice Address - Phone:202-866-7505
Practice Address - Fax:202-335-0994
Is Sole Proprietor?:Yes
Enumeration Date:2023-10-23
Last Update Date:2024-01-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DCHHA15070251E00000X, 171M00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171M00000XOther Service ProvidersCase Manager/Care Coordinator
No251E00000XAgenciesHome Health