ANGELS MISSION HOME CARE SERVICES LLC
NPI 1316419740
Home Health in Stafford, VA

Active since December 25, 2018CLIA 49D2271903 · Waiver
46 WILLOW GLEN CT, STAFFORD, VA 22554(540) 720-1006(540) 720-1001 Get Directions Write a Review

NPPES record last updated: October 5, 2022. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Oct 5, 2022, Jan 3, 2019, Dec 25, 2018 (3 updates tracked since 2018).

About Angels Mission Home Care Services Llc NPPES

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

ANGELS MISSION HOME CARE SERVICES LLC (NPI 1316419740) is a healthcare organization registered as a home health in Stafford, Virginia and active in the NPI registry since December 2018. The organization holds a CLIA Waiver certificate valid through November 9, 2026 and lists Henry K Lukwago, Bsn-rn, as its authorized official.

NPPES Registry Identity

NPI1316419740
Entity TypeOrganization
Primary Taxonomy251E00000X
Legal Business NameANGELS MISSION HOME CARE SERVICES LLC
Location Address46 WILLOW GLEN CTStafford, VA 22554-8208
Mailing Address1951 Gableridge Turn Apt 303Woodbridge, VA 22191-1974 · (240) 547-7651
Fax(540) 720-1001
Organization SubpartNo
Authorized OfficialHenry K LukwagoBsn-rn · (240) 547-7651
Enumeration DateDecember 25, 2018
Last NPPES UpdateOctober 5, 20223 updates tracked since enumeration
NPPES CertifiedOctober 5, 2022
NPI 1316419740 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyHome HealthAgencies
Taxonomy Code251E00000X
Definition
A public agency or private organization, or a subdivision of such an agency or organization, that is primarily engaged in providing skilled nursing services and other therapeutic services, such as physical therapy, speech-language pathology services, or occupational therapy, medical social services, and home health aide services. It has policies established by a professional group associated with the agency or organization (including at least one physician and one registered nurse) to govern the services and provides for supervision of such services by a physician or a registered nurse; maintains clinical records on all patients; is licensed in accordance with State or local law or is approved by the State or local licensing agency as meeting the licensing standards, where applicable; and meets other conditions found by the Secretary of Health and Human Services to be necessary for health and safety.
46 WILLOW GLEN CT, Stafford, VA 22554

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 49D2271903

Angels Mission Home Care Services LLC · Stafford, VA
Active · expires Nov 9, 2026
CLIA Number49D2271903
Laboratory TypeHome Health Agency
Certificate Effective DateNovember 10, 2024
Certificate Expiration DateNovember 9, 2026
Laboratory DirectorTedla Anbessie
Laboratory Phone(540) 720-1006
Laboratory LocationAngels Mission Home Care Services LLC46 Willow Glen Court, Stafford, VA 22554
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES

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

Home Health
46 WILLOW GLEN CT
STAFFORD, VA 22554

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 Angels Mission Home Care Services LLC's NPI number?

The NPI number for Angels Mission Home Care Services LLC is 1316419740. It was assigned to this organization in the NPPES registry on December 25, 2018.

Where is Angels Mission Home Care Services LLC located?

Angels Mission Home Care Services LLC is located at 46 Willow Glen Ct, Stafford, VA 22554. The listed phone number is (540) 720-1006.

What is Angels Mission Home Care Services LLC's specialty?

The primary specialty registered for this NPI is Home Health with taxonomy code 251E00000X.

Does Angels Mission Home Care Services LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 49D2271903) is associated with this NPI, valid through November 9, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Angels Mission Home Care Services LLC was last updated on October 5, 2022. NPI Profile syncs with the weekly NPPES data releases published by CMS.