Organization Active NPI

Angelwings

  • Custodial Care Facility
  • Bastrop, TX
National Provider Identifier
1013142322
Registry record updated May 17, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Custodial Care FacilityTaxonomy code 311Z00000X
Legal business name
ANGELWINGS
Practice address
103 Reids BND
Bastrop, TX 78602-7687
Phone
(512) 636-7584
Fax
(512) 581-3993
NPI assigned
May 17, 2009
Last updated
May 17, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 17, 2009

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mrs. Jane Elizabeth WrightNPI 1871728998
Title
Owner/Administrator
Phone
(512) 636-7584

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Custodial Care Facility 311Z00000X Primary

Addresses

Primary practice location

103 Reids BND
Bastrop, TX 78602-7687

Mailing address

103 Reids BND
Bastrop, TX 78602-7687
Phone (512) 636-7584

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1242518400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1242518400000",
    "number": "1013142322",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "103 REIDS BND",
            "city": "BASTROP",
            "state": "TX",
            "postal_code": "786027687",
            "telephone_number": "512-636-7584",
            "fax_number": "512-581-3993"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "103 REIDS BND",
            "city": "BASTROP",
            "state": "TX",
            "postal_code": "786027687",
            "telephone_number": "512-636-7584",
            "fax_number": "512-581-3993"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ANGELWINGS",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-05-17",
        "last_updated": "2009-05-17",
        "status": "A",
        "authorized_official_last_name": "WRIGHT",
        "authorized_official_first_name": "JANE",
        "authorized_official_middle_name": "ELIZABETH",
        "authorized_official_title_or_position": "OWNER/ADMINISTRATOR",
        "authorized_official_telephone_number": "512-636-7584",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "311Z00000X",
            "taxonomy_group": "",
            "desc": "Custodial Care Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bastrop, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 17, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.