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ANGEL GATE HEALTH SERVICES LLC
NPI 1417620212
Day Training, Developmentally Disabled Services in Woodbridge, VA

Active since July 28, 2021
12403 HATCHWAY CT, WOODBRIDGE, VA 22192(240) 491-2868 Get Directions Write a Review

NPPES record last updated: July 28, 2021. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Angel Gate Health Services Llc NPPES

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

ANGEL GATE HEALTH SERVICES LLC (NPI 1417620212) is a healthcare organization registered as a day training, developmentally disabled services in Woodbridge, Virginia and active in the NPI registry since July 2021. The organization lists Charles Besong, Director, as its authorized official.

NPPES Registry Identity

NPI1417620212
Entity TypeOrganization
Primary Taxonomy251C00000X
Legal Business NameANGEL GATE HEALTH SERVICES LLC
Location Address12403 HATCHWAY CTWoodbridge, VA 22192-2114
Mailing Address12403 Hatchway CtWoodbridge, VA 22192-2114 · (240) 491-2868
Phone(240) 491-2868
Organization SubpartNo
Authorized OfficialCharles BesongDirector · (240) 491-2868
Enumeration DateJuly 28, 2021
NPPES CertifiedJuly 15, 2021
✔ NPI 1417620212 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDay Training, Developmentally Disabled ServicesAgencies
Taxonomy Code251C00000X
Definition
These agencies are authorized to provide day habilitation services to developmentally disabled individuals who live in their homes. The function of day habilitation is to assist an individual to acquire and maintain those life skills that enable the individual to cope more effectively with the demands of independent living. Also to raise the level of the individual's physical, mental, social, and vocational functioning.
12403 HATCHWAY CT, Woodbridge, VA 22192
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Other Identifiers 1

Medicaid4397VA

Other Providers at the Same Location NPPES

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

ANGEL GATE HEALTH SERVICES, LLC
Day Training, Developmentally Disabled Services
12403 HATCHWAY CT
WOODBRIDGE, VA 22192
Prince William County (202) 497-8947

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 Gate Health Services LLC's NPI number?

The NPI number for Angel Gate Health Services LLC is 1417620212. It was assigned to this organization in the NPPES registry on July 28, 2021.

Where is Angel Gate Health Services LLC located?

Angel Gate Health Services LLC is located at 12403 Hatchway Ct, Woodbridge, VA 22192. The listed phone number is (240) 491-2868.

What is Angel Gate Health Services LLC's specialty?

The primary specialty registered for this NPI is Day Training, Developmentally Disabled Services with taxonomy code 251C00000X.

When was this NPI record last updated?

The NPPES record for Angel Gate Health Services LLC was last updated on July 28, 2021. NPI Profile syncs with the weekly NPPES data releases published by CMS.