Angelic Personal Care Services, LLC

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Legal business name

ANGELIC PERSONAL CARE SERVICES, LLC

Practice address

14046 Airline Hwy
Suite B
Gonzales, LA 70737

Phone

(225) 644-2326

Fax

(225) 647-4754

NPI assigned

Jun 19, 2007

Last updated

Nov 8, 2024By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Ms. Tiffany Valentine Williams

Title

Administrator

Phone

(225) 644-2326

Specialties & licenses 3

Addresses

Other identifiers 3

Tax ID family

Angelic Services LLC3 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.

• Angelic Services LLC

  • Developmentally Disabled Services Day Training Agency
  • Gonzales, LA
  • NPI 1578755138
  NPD tax ID
• Angelic Services, LLC

  • Developmentally Disabled Services Day Training Agency
  • Gonzales, LA
  • NPI 1841482403
  NPD tax ID

Locations

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

{
    "created_epoch": "1182211200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1731024000000",
    "number": "1093910168",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14046 AIRLINE HWY",
            "address_2": "SUITE B",
            "city": "GONZALES",
            "state": "LA",
            "postal_code": "70737",
            "telephone_number": "225-644-2326",
            "fax_number": "225-647-4754"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14046 AIRLINE HWY",
            "address_2": "SUITE B",
            "city": "GONZALES",
            "state": "LA",
            "postal_code": "70737",
            "telephone_number": "225-644-2326",
            "fax_number": "225-647-4754"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ANGELIC PERSONAL CARE SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-19",
        "last_updated": "2024-11-08",
        "status": "A",
        "authorized_official_last_name": "WILLIAMS",
        "authorized_official_first_name": "TIFFANY",
        "authorized_official_middle_name": "VALENTINE",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "225-644-2326",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "251C00000X",
            "taxonomy_group": "",
            "desc": "Day Training, Developmentally Disabled Services",
            "state": "LA",
            "license": "9121",
            "primary": false
        },
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "251J00000X",
            "taxonomy_group": "",
            "desc": "Nursing Care",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SUPERVISE INDEP. LIVING",
            "identifier": "1145165",
            "state": "LA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PERSONAL CARE ATTENDANT",
            "identifier": "1172308",
            "state": "LA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ELDERLY DISABLED ADULTS",
            "identifier": "1126187",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Amedisys Hospice, L.L.C. (Amedisys Hospice)
• Brianna Marie Anderson, DDS
• David D Anderson, DO
• Kyali Anderson
• Summer M Anderson, APRN
• Angelic Services LLC
• Angelic Services, LLC
• Anointed Hands Trichology Center for Hair Loss LLC
• Beau Vincent Arceneaux, PT, DPT
• Shanna Armstrong, MS, CCC-SLP, L-SLP

• Home Health Agency in Gonzales, LA
• Providers in Gonzales, LA by specialty
• Home Health Agency in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 8, 2024; 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.