Organization Active NPI

Angelic Hands House Calls

  • Home Health Agency
  • Canton, MS
National Provider Identifier
1124641709
Registry record updated May 18, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
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

Updated by the provider on May 18, 2020

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

Authorized official

Name
Angela Jones Stewart, FNPCNPI 1144629510
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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
03820257MedicaidMS

Other names 1

  • AHHC Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MS

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20200602002488 MS Part B Supplier - Clinic/Group Practice 3274954029 Receives reassigned benefits from 1 practitioner
Practice locations: Canton, MS

National Provider Directory

National Provider Directory

Locations

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.

Verify at the official NPI Registry.