OrganizationActive
Angel Home, LLC
NPI 1003509795 · Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility · Midlothian, VA
Provider details
- NPI number
- 1003509795
- Entity type
- Organization
- Primary specialty
- Intellectual and/or Developmental Disabilities Community Based Residential Treatment FacilityResidential Treatment Facilities
- Organization subpart
- No
- Authorized official
- Ali Eltom, Director(804) 691-6808
Specialties & taxonomies
- Intellectual and/or Developmental Disabilities Community Based Residential Treatment FacilityPrimary320900000X
Residential Treatment Facilities
Practice location
1801 Otterdale Rd
Midlothian, VA 23112-5201
Phone: (804) 212-4832
Approximate (ZIP-level) locationGet directions
Mailing address
11307 Laurel Cove Ln
Chesterfield, VA 23838-8915
Registry dates
- Enumerated
- 2023-05-30
- Last updated
- 2023-05-30
- Certified
- 2023-05-30
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.