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ANGEL LANE, LLC
NPI 1215389200
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities in Midlothian, VA

Active since July 01, 2016
11419 COURTHOUSE ACRES DR, MIDLOTHIAN, VA 23114(804) 833-0401 Get Directions Write a Review

NPPES record last updated: July 1, 2016. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Angel Lane, Llc NPPES

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

ANGEL LANE, LLC (NPI 1215389200) 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 July 2016. The organization lists Rifukat Adeola Adeyemi, Program Director, as its authorized official.

NPPES Registry Identity

NPI1215389200
Entity TypeOrganization
Primary Taxonomy320900000X
Legal Business NameANGEL LANE, LLC
Location Address11419 COURTHOUSE ACRES DRMidlothian, VA 23114-5168
Mailing Address11419 Courthouse Acres DrMidlothian, VA 23114-5168 · (804) 833-0401
Phone(804) 833-0401
Organization SubpartNo
Authorized OfficialRifukat Adeola AdeyemiProgram Director · (804) 833-0401
Enumeration DateJuly 1, 2016
✔ NPI 1215389200 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCommunity Based Residential Treatment Facility, Intellectual and/or Developmental DisabilitiesResidential Treatment Facilities
Taxonomy Code320900000X
License✔ Licensed in VA · 2471
Definition
A home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with mental retardation and/or developmental disabilities.
11419 COURTHOUSE ACRES DR, Midlothian, VA 23114
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Other Identifiers 1

Medicaid2471VA

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 Lane, LLC's NPI number?

The NPI number for Angel Lane, LLC is 1215389200. It was assigned to this organization in the NPPES registry on July 1, 2016.

Where is Angel Lane, LLC located?

Angel Lane, LLC is located at 11419 Courthouse Acres Dr, Midlothian, VA 23114. The listed phone number is (804) 833-0401.

What is Angel Lane, 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 Lane, LLC was last updated on July 1, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.