Angel Gate Health Services Llc

LBN: Angel Gate Health Services Llc
Angel Gate Health Services Llc is an health care organization with primary practice located at 12403 Hatchway Ct , Woodbridge VA 22192-2114. The organization recently has only one registered license in Agencies / Day Training, Developmentally Disabled Services, which is considered as the primary health care specialty. Angel Gate Health Services Llc can be contacted via phone (240) 491-2868, or through Besong, Charles via phone (240) 491-2868.

Contact Information

Primary practice address
12403 Hatchway Ct Woodbridge VA 22192-2114
Phone: (240) 491-2868
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Besong, Charles DNP
Phone: (240) 491-2868

Health care specialties

SpecialtyCodeLicense #State
Agencies / Day Training, Developmentally Disabled Services 251C00000X

Profile Details

NPI number 1417620212
LBN Legal business name Angel Gate Health Services Llc
DBA Doing business as
Authorized official Besong, Charles DNP
Entity Organization
Organization subpart 1 No
Enumeration date Jul 28th, 2021
Last updated Jul 28th, 2021 - about 3 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1417620212 NPPES
Virginia MEDICAID 4397

Popular Providers