Organization Active NPI

Garden of Angels LLC

  • Nursing Care Agency
  • Jackson, MS
National Provider Identifier
1114260882
Registry record updated Apr 1, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nursing Care AgencyTaxonomy code 251J00000X
Legal business name
GARDEN OF ANGELS LLC
Practice address
4807 N State St
Ste 406
Jackson, MS 39206-4826
Phone
(601) 982-3555
Fax
(601) 982-3557
NPI assigned
Apr 1, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 1, 2013

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

Authorized official

Name
Tricia Duncan
Title
Biller
Phone
(601) 878-6945

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nursing Care Agency 251J00000X Primary

Addresses

Primary practice location

4807 N State St
Ste 406
Jackson, MS 39206-4826

Mailing address

4807 N State St
Ste 406
Jackson, MS 39206-4826
Phone (601) 982-3555

National Provider Directory

National Provider Directory
Tax ID family
Garden of Angels LLC10 organizations share this tax ID, including this one

Other organizations with this tax ID 9

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

NPI Registry JSON

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

{
    "created_epoch": "1364774400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1364774400000",
    "number": "1114260882",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4807 N STATE ST",
            "address_2": "STE 406",
            "city": "JACKSON",
            "state": "MS",
            "postal_code": "392064826",
            "telephone_number": "601-982-3555",
            "fax_number": "601-982-3557"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4807 N STATE ST",
            "address_2": "STE 406",
            "city": "JACKSON",
            "state": "MS",
            "postal_code": "392064826",
            "telephone_number": "601-982-3555",
            "fax_number": "601-982-3557"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GARDEN OF ANGELS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-04-01",
        "last_updated": "2013-04-01",
        "status": "A",
        "authorized_official_last_name": "DUNCAN",
        "authorized_official_first_name": "TRICIA",
        "authorized_official_title_or_position": "BILLER",
        "authorized_official_telephone_number": "601-878-6945"
    },
    "taxonomies": [
        {
            "code": "251J00000X",
            "taxonomy_group": "",
            "desc": "Nursing Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jackson, MS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 1, 2013; 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.