ANGEL HOME, LLC
NPI 1003509795
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities in Midlothian, VA

Active since May 30, 2023
1801 OTTERDALE RD, MIDLOTHIAN, VA 23112(804) 212-4832 Get Directions Write a Review

NPPES record last updated: May 30, 2023. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Angel Home, Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ANGEL HOME, LLC (NPI 1003509795) is a healthcare organization registered as a community based residential treatment facility, intellectual and/or developmental disabilities in Midlothian, Virginia and active in the NPI registry since May 2023. The organization lists Ali Eltom, Director, as its authorized official.

NPPES Registry Identity

NPI1003509795
Entity TypeOrganization
Primary Taxonomy320900000X
Legal Business NameANGEL HOME, LLC
Location Address1801 OTTERDALE RDMidlothian, VA 23112-5201
Mailing Address11307 Laurel Cove LnChesterfield, VA 23838-8915 · (804) 212-4832
Organization SubpartNo
Authorized OfficialAli EltomDirector · (804) 691-6808
Enumeration DateMay 30, 2023
NPPES CertifiedMay 30, 2023
NPI 1003509795 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Taxonomy Code320900000X
Definition
A home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with mental retardation and/or developmental disabilities.
1801 OTTERDALE RD, Midlothian, VA 23112

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Angel Home, LLC's NPI number?

The NPI number for Angel Home, LLC is 1003509795. It was assigned to this organization in the NPPES registry on May 30, 2023.

Where is Angel Home, LLC located?

Angel Home, LLC is located at 1801 Otterdale Rd, Midlothian, VA 23112. The listed phone number is (804) 212-4832.

What is Angel Home, LLC's specialty?

The primary specialty registered for this NPI is Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities with taxonomy code 320900000X.

When was this NPI record last updated?

The NPPES record for Angel Home, LLC was last updated on May 30, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.