ANGELIC LIFE CARE LLC (NPI# 1962915645) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1962915645 |
| Entity Type | Organization |
| Organization Name | ANGELIC LIFE CARE LLC |
| Practice Address |
14307 Mossy Gate Ln Houston TX 77082-2160 |
| Practice Telephone | 7134292767 |
| Mailing Telephone | 7134292767 |
| Enumeration Date | 2017-11-16 |
| Last Update Date | 2017-11-16 |
| Authorized Official Name | DIONNA BROCK RICHARDSON (CEO) |
| Authorized Official Telephone | 7134292767 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 320900000X | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | Residential Treatment Facilities | ||
| N | 385HR2060X |
Respite Care Specialization: Respite Care, Mental Retardation and/or Developmental Disabilities, Child |
Respite Care Facility | ||
| Y | 171M00000X | Case Manager/Care Coordinator | Other Service Providers |
| Street Address |
14307 MOSSY GATE LN |
| City | HOUSTON |
| State | TX |
| Zip Code | 77082-2160 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912517426 | Med Cure Clinic | Clinic/Center | 102703 Alief Clodine Rd, Houston, TX 77082 | 2020-08-10 |
| 1083247571 | Long Tran | Pharmacist | 15842 Clayton Bend Dr, Houston, TX 77082 | 2020-02-13 |
| 1023599412 | Lori Friedman | Physical Therapy Assistant | 3625 Green Crest, Houston, TX 77082 | 2018-08-24 |
| 1548768187 | Ashford Pharmacy Inc. | Pharmacy | 3751 S Dairy Ashford Rd # 102, Houston, TX 77082 | 2018-01-29 |
| 1033625850 | Sarita E Smalley | Chiropractor | 11301 Richmond Ave., Suite K103, Houston, TX 77082 | 2017-12-15 |
| 1366972002 | Tangela Rene Woodland-ballard | Nurse Practitioner | 3751 S. Dairy Ashford Road, Houston, TX 77082 | 2017-06-15 |
| 1730623273 | Global Retel Investments Inc | Home Health | 4018 Green Crest Drive, 4018 Green Crest Drive, Houston, TX 77082 | 2016-12-16 |
| 1538532239 | Ramsome Medical Transportation | Secured Medical Transport (VAN) | 2703 Highway 6, 195, Houston, TX 77082 | 2015-11-04 |
| 1598141962 | Havilla Medical Transportation Services | Non-emergency Medical Transport (VAN) | 13433 Garden Grove, Houston, TX 77082 | 2015-08-07 |
| 1376895565 | Humera Yazdani | Dentist | 2703 South Hwy 6, Suite 147, Houston, TX 77082 | 2012-10-11 |
| Find all providers in zip 77082 | ||||
| Taxonomy Code | 171M00000X |
| Grouping | Other Service Providers |
| Classification | Case Manager/Care Coordinator |
| A person who provides case management services and assists an individual in gaining access to needed medical, social, educational, and/or other services. The person has the ability to provide an assessment and review of completed plan of care on a periodic basis. This person is also able to take collaborative action to coordinate the services with other providers and monitor the enrollee’s progress toward the cost-effective achievement of objectives specified in the plan of care. Credentials may vary from an experience in the fields of psychology, social work, rehabilitation, nursing or a closely related human service field, to a related Assoc of Arts Degree or to nursing credentials. Some states may require certification in case management. |
| Notes: Source: CMS State Medicaid Manual Section 4442.3 [7/1/2006: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881216752 | Mental Health Care Solutions LLC | Case Manager/Care Coordinator | 2040 North Loop W Ste 370, Houston, TX 77018-8140 | 2020-05-13 |
| 1639790124 | Simone Warner | Case Manager/Care Coordinator | 350 Belway 8, Houston, TX 77060 | 2020-05-06 |
| 1013538677 | Porshia D Coleman | Case Manager/Care Coordinator | 350 N Sam Houston Pkwy E Ste 238, Houston, TX 77060-3320 | 2020-05-05 |
| 1659907129 | Debrilya Williams | Case Manager/Care Coordinator | 2500 E T C Jester Blvd Ste 178, Houston, TX 77008-1449 | 2020-03-17 |
| 1720611387 | Paula Free | Case Manager/Care Coordinator | 2828 Bammel Ln Apt 811, Houston, TX 77098-1146 | 2020-02-21 |
| 1922639335 | Light House Case Management | Case Manager/Care Coordinator | 14510 Gable Mountain Cir, Houston, TX 77090-2333 | 2020-02-04 |
| 1881224004 | Allyson Buckner | Case Manager/Care Coordinator | 7373 Ardmore St Apt 1286, Houston, TX 77054-4223 | 2020-01-16 |
| 1861030090 | Jairus Demond Scott | Case Manager/Care Coordinator | 12526 Greencanyon Dr, Houston, TX 77044-7247 | 2019-12-18 |
| 1912544248 | Faith Lyons | Case Manager/Care Coordinator | 3131 West Loop S Apt 463, Houston, TX 77027-6135 | 2019-12-05 |
| 1699323071 | Katina Young | Case Manager/Care Coordinator | 2219 Greenhouse Rd Apt 1304, Houston, TX 77084-7329 | 2019-08-29 |
| Find all providers in HOUSTON | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.