Organization Active NPI

Archangel Personal Care Attendant Services,LLC

  • Community Based Hospice Care Agency
  • New Orleans, LA
National Provider Identifier
1073674867
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Based Hospice Care AgencyTaxonomy code 251G00000X
License
PCA 11634 Issued in LA
Legal business name
ARCHANGEL PERSONAL CARE ATTENDANT SERVICES,LLC
Practice address
3501 Holiday Dr
Suite 407
New Orleans, LA 70114-8202
Phone
(504) 366-0494
Fax
(504) 366-0492
NPI assigned
Dec 13, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mrs. Rosland Driver, RN, MPA
Title
Executive Director
Phone
(504) 366-0494

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community Based Hospice Care Agency 251G00000X PCA 11634 LA Primary

Addresses

Primary practice location

3501 Holiday Dr
Suite 407
New Orleans, LA 70114-8202

Mailing address

3501 Holiday Dr
Suite 407
New Orleans, LA 70114-8202
Phone (504) 366-0494

Other identifiers 3

IdentifierTypeStateIssuer
1733407MedicaidLA
1629201MedicaidLA
1349992MedicaidLA

National Provider Directory

National Provider Directory
Tax ID family
Archangel Personal Care Attendant Servicesllc3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

Locations

3501 Holiday Dr
Ste 407
New Orleans, LA 70114
Phone (504) 366-0494

NPI Registry JSON

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

{
    "created_epoch": "1165968000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1073674867",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3501 HOLIDAY DR",
            "address_2": "SUITE 407",
            "city": "NEW ORLEANS",
            "state": "LA",
            "postal_code": "701148202",
            "telephone_number": "504-366-0494",
            "fax_number": "504-366-0492"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3501 HOLIDAY DR",
            "address_2": "SUITE 407",
            "city": "NEW ORLEANS",
            "state": "LA",
            "postal_code": "701148202",
            "telephone_number": "504-366-0494",
            "fax_number": "504-366-0492"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ARCHANGEL PERSONAL CARE ATTENDANT SERVICES,LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-13",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "DRIVER",
        "authorized_official_first_name": "ROSLAND",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "504-366-0494",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "RN, MPA"
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": "LA",
            "license": "PCA 11634",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1733407",
            "state": "LA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1629201",
            "state": "LA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1349992",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in New Orleans, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 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.