Provider Demographics
NPI:1336456987
Name:ANGELS MEDICAL HOUSECALL, INC
Entity Type:Organization
Organization Name:ANGELS MEDICAL HOUSECALL, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:NP
Authorized Official - Prefix:MS
Authorized Official - First Name:NGOZI
Authorized Official - Middle Name:A
Authorized Official - Last Name:IHEOMA
Authorized Official - Suffix:
Authorized Official - Credentials:CRNP
Authorized Official - Phone:202-525-8594
Mailing Address - Street 1:PO BOX 92097
Mailing Address - Street 2:
Mailing Address - City:WASHINGTON
Mailing Address - State:DC
Mailing Address - Zip Code:20090-2097
Mailing Address - Country:US
Mailing Address - Phone:202-525-8594
Mailing Address - Fax:202-636-7435
Practice Address - Street 1:5232 KARL PL NE
Practice Address - Street 2:
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20019-7052
Practice Address - Country:US
Practice Address - Phone:202-525-8594
Practice Address - Fax:202-636-7435
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-09-02
Last Update Date:2013-12-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DCRN1016266363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamilyGroup - Single Specialty