Sacred Angels LLC

Primary specialty

Public Health or Welfare AgencyTaxonomy code 251K00000X

Legal business name

SACRED ANGELS LLC

Practice address

21862 State Highway 59 S Ste J
Robertsdale, AL 36567-6712

Phone

(901) 949-9459

NPI assigned

Jun 26, 2023

Organization subpart

No

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

Authorized official

Name

Mrs. Monica Joyce WallaceNPI 1447936729

Title

Caregiver

Phone

(251) 200-0551

Specialties & licenses 7

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Monica Joyce Wallace

  • Adult Companion
  • Robertsdale, AL
  • NPI 1447936729
  NPD Authorized official

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

{
    "created_epoch": "1687737600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1688774400000",
    "number": "1124704945",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21862 STATE HIGHWAY 59 S STE J",
            "city": "ROBERTSDALE",
            "state": "AL",
            "postal_code": "365676712",
            "telephone_number": "251-200-0551"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21862 STATE HIGHWAY 59 S STE J",
            "city": "ROBERTSDALE",
            "state": "AL",
            "postal_code": "365676712",
            "telephone_number": "901-949-9459"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SACRED ANGELS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-06-26",
        "last_updated": "2023-07-08",
        "certification_date": "2023-07-08",
        "status": "A",
        "authorized_official_last_name": "WALLACE",
        "authorized_official_first_name": "MONICA",
        "authorized_official_middle_name": "JOYCE",
        "authorized_official_title_or_position": "CAREGIVER",
        "authorized_official_telephone_number": "251-200-0551",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "172A00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Driver",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "174200000X",
            "taxonomy_group": "",
            "desc": "Meals",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251C00000X",
            "taxonomy_group": "",
            "desc": "Day Training, Developmentally Disabled Services",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251K00000X",
            "taxonomy_group": "",
            "desc": "Public Health or Welfare",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Robertsdale Urgent Care LLC
• Deanna Adlington Robinson, M.S.,CCC-SLP
• Douglas Blake Rodenberry, PHARMD
• Annelise Romine, COTA/L
• Jessica Suzanne Ryan, PHD
• Eugene Saiter, M.D.
• Michael T Sanford, MD
• Pamela L. Savage, DSW, LICSW
• Leigh Merritt Segrest, DPT
• Jordan Shotts

• Public Health or Welfare Agency in Robertsdale, AL
• Providers in Robertsdale, AL by specialty
• Public Health or Welfare Agency in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2023; 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.