Active NPI
Angelic Hands House Calls
- Home Health Agency
- Canton, MS
National Provider Identifier
1124641709
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Agency
- Legal business name
- ANGELIC HANDS HOUSE CALLS
- Practice address
- 299 W Peace St Ste B
Canton, MS 39046-4325 - Phone
- (601) 906-0130
- Fax
- (601) 667-3508
- NPI assigned
- May 18, 2020
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Angela Jones Stewart, FNPC
- Title
- Family Nurse Practitioner
- Phone
- (601) 906-0130
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Agency | 251E00000X | Primary |
Addresses
Primary practice location
299 W Peace St Ste B
Canton, MS 39046-4325
Mailing address
PO Box 165
Canton, MS 39046-0165
Phone (601) 906-0130
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 03820257 | Medicaid | MS |
Other names 1
- AHHC
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MS
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20200602002488 | MS | Part B Supplier - Clinic/Group Practice | 3274954029 |
Receives reassigned benefits from 1 practitioner Practice locations: Canton, MS |
National Provider Directory
National Provider DirectoryLocations
299 W Peace St
Ste B
Canton, MS 39046
Phone (601) 906-0130
421 S Union St
Canton, MS 39046
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1589760000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1589760000000",
"number": "1124641709",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 165",
"city": "CANTON",
"state": "MS",
"postal_code": "390460165",
"telephone_number": "601-906-0130",
"fax_number": "601-667-3508"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "299 W PEACE ST STE B",
"city": "CANTON",
"state": "MS",
"postal_code": "390464325",
"telephone_number": "601-906-0130",
"fax_number": "601-667-3508"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ANGELIC HANDS HOUSE CALLS",
"organizational_subpart": "NO",
"enumeration_date": "2020-05-18",
"last_updated": "2020-05-18",
"certification_date": "2020-05-18",
"status": "A",
"authorized_official_last_name": "JONES STEWART",
"authorized_official_first_name": "ANGELA",
"authorized_official_title_or_position": "FAMILY NURSE PRACTITIONER",
"authorized_official_telephone_number": "601-906-0130",
"authorized_official_credential": "FNPC"
},
"taxonomies": [
{
"code": "251E00000X",
"taxonomy_group": "",
"desc": "Home Health",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "03820257",
"state": "MS"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "AHHC",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Canton, MS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 18, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.