1. Home
  2. Directory
  3. Arizona
  4. San Tan Valley
  5. Community Based Residential Treatment Facility Mental Illness
  6. NPI Profile

ANGEL FAMILY CARE, LLC
NPI 1104475763
Community Based Residential Treatment Facility, Mental Illness in San Tan Valley, AZ

Active since September 06, 2019
28370 N GOLD LN, SAN TAN VALLEY, AZ 85143(480) 720-3393 Get Directions Write a Review

NPPES record last updated: June 21, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jun 21, 2021, Sep 6, 2019 (2 updates tracked since 2019).

About Angel Family Care, Llc NPPES

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

ANGEL FAMILY CARE, LLC (NPI 1104475763) is a healthcare organization registered as a community based residential treatment facility, mental illness in San Tan Valley, Arizona and active in the NPI registry since September 2019. The organization lists Chantelle Ezinne Oguadimma, Chief Executive Officer, as its authorized official.

NPPES Registry Identity

NPI1104475763
Entity TypeOrganization
Primary Taxonomy320800000X
Legal Business NameANGEL FAMILY CARE, LLC
Location Address28370 N GOLD LNSan Tan Valley, AZ 85143-6059
Mailing Address28370 N Gold LnSan Tan Valley, AZ 85143-6059 · (480) 720-3393
Phone(480) 720-3393
Organization SubpartNo
Authorized OfficialChantelle Ezinne OguadimmaChief Executive Officer · (480) 720-3393
Enumeration DateSeptember 6, 2019
Last NPPES UpdateJune 21, 20212 updates tracked since enumeration
NPPES CertifiedJune 21, 2021
✔ NPI 1104475763 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 4

★ Primary SpecialtyCommunity Based Residential Treatment Facility, Mental IllnessResidential Treatment Facilities
Taxonomy Code320800000X
Definition
A home-like residential facility providing psychiatric treatment and psycho/social rehabilitative services to individuals diagnosed with mental illness.
Also ListedCounselor · Addiction (Substance Use Disorder)Taxonomy 101YA0400X
Also ListedCounselor · Mental HealthTaxonomy 101YM0800X
Also ListedCommunity/Behavioral HealthTaxonomy 251S00000X
28370 N GOLD LN, San Tan Valley, AZ 85143
Open in Google Maps ↗

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MS. CHANTELLE EZINNE OKOYE LPC
Counselor
28370 N GOLD LN
SAN TAN VALLEY, AZ 85143
Pinal County (480) 720-3393

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 Family Care, LLC's NPI number?

The NPI number for Angel Family Care, LLC is 1104475763. It was assigned to this organization in the NPPES registry on September 6, 2019.

Where is Angel Family Care, LLC located?

Angel Family Care, LLC is located at 28370 N Gold Ln, San Tan Valley, AZ 85143. The listed phone number is (480) 720-3393.

What is Angel Family Care, LLC's specialty?

The primary specialty registered for this NPI is Community Based Residential Treatment Facility, Mental Illness with taxonomy code 320800000X.

When was this NPI record last updated?

The NPPES record for Angel Family Care, LLC was last updated on June 21, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.