Organization Active NPI

Miss Shay's Guardian Angels, LLC

  • Home Health Agency
  • Pearl, MS
National Provider Identifier
1023738473
Registry record updated May 19, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
MISS SHAY'S GUARDIAN ANGELS, LLC
Practice address
3127 Greenfield Rd Lot 271
Pearl, MS 39208-7000
Phone
(769) 227-9330
NPI assigned
Aug 29, 2022
Last updated
May 19, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 19, 2025

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

Authorized official

Name
Shalitha ErvinNPI 1114647567
Title
Ceo
Phone
(601) 862-2676

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
Home Health Agency 251E00000X NU Primary

Addresses

Primary practice location

3127 Greenfield Rd Lot 271
Pearl, MS 39208-7000

Mailing address

3127 Greenfield Rd Lot 271
Pearl, MS 39208-7000
Phone (601) 862-2676

Other names 1

  • Miss Shay's Guardian Angels, LLC Former legal business name

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": "1661731200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1747612800000",
    "number": "1023738473",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3127 GREENFIELD RD LOT 271",
            "city": "PEARL",
            "state": "MS",
            "postal_code": "392087000",
            "telephone_number": "601-862-2676"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3127 GREENFIELD RD LOT 271",
            "city": "PEARL",
            "state": "MS",
            "postal_code": "392087000",
            "telephone_number": "769-227-9330"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MISS SHAY'S GUARDIAN ANGELS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-08-29",
        "last_updated": "2025-05-19",
        "certification_date": "2025-05-19",
        "status": "A",
        "authorized_official_last_name": "ERVIN",
        "authorized_official_first_name": "SHALITHA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "601-862-2676"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Miss Shay's Guardian Angels, LLC",
            "code": "4",
            "type": "Former Legal Business Name"
        },
        {
            "organization_name": "Miss Shay's Guardian Angels, LLC",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Pearl, MS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 19, 2025; 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.