Organization Active NPI

Malone'S Heavenly Angels Home Health LLC

  • In Home Supportive Care Agency
  • Saint Louis, MO
National Provider Identifier
1063979284
Registry record updated Apr 20, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
Legal business name
MALONE'S HEAVENLY ANGELS HOME HEALTH LLC
Practice address
4625 Lindell Blvd
Saint Louis, MO 63108-3725
Phone
(314) 396-7924
Fax
(314) 396-7941
NPI assigned
Feb 24, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 20, 2020

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

Authorized official

Name
Narnell Malone
Title
Owner
Phone
(314) 629-9071

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
In Home Supportive Care Agency 253Z00000X Primary

Addresses

Primary practice location

4625 Lindell Blvd
Saint Louis, MO 63108-3725

Mailing address

4625 Lindell Blvd
Saint Louis, MO 63108-3725
Phone (314) 396-7924

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1550966400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1587340800000",
    "number": "1063979284",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4625 LINDELL BLVD",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631083725",
            "telephone_number": "314-396-7924",
            "fax_number": "314-396-7941"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4625 LINDELL BLVD",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631083725",
            "telephone_number": "314-396-7924",
            "fax_number": "314-396-7941"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MALONE'S HEAVENLY ANGELS HOME HEALTH LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-02-24",
        "last_updated": "2020-04-20",
        "certification_date": "2020-04-20",
        "status": "A",
        "authorized_official_last_name": "MALONE",
        "authorized_official_first_name": "NARNELL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "314-629-9071"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Louis, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 2020; 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.