Angel's Adult Group Home, LLC
NPI 1780302281ActiveOrganization· Assisted Living Facility· Phoenix, AZ
Assisted Living Facility in Phoenix, Arizona, registered in NPPES in August 2022. The authorized official on file is Abel Deforest, Manager/Owner.
Overview
| NPI | 1780302281 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Aug 19, 2022 |
| Last updated in NPPES | Aug 19, 2022 |
| Certified by provider | Aug 19, 2022 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Assisted Living Facility Primary | 310400000X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
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