Three Angel'S Covenant Care 'LLC'

Primary specialty

Point of ServiceTaxonomy code 305S00000X

Legal business name

THREE ANGEL'S COVENANT CARE 'LLC'

Practice address

325 W Sabine St
Suite E5
Carthage, TX 75633-2549

Phone

(903) 234-0114

NPI assigned

Nov 23, 2012

Organization subpart

No

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

Authorized official

Name

Ms. Equallia Yvonne Malone

Title

Owner

Phone

(903) 234-0114

Specialties & licenses 1

Addresses

Other names 1

• Three Angel's Covenant Care 'LLC' Doing business as

Locations

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

{
    "created_epoch": "1353628800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1353628800000",
    "number": "1134463680",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "325 W SABINE ST",
            "address_2": "SUITE E5",
            "city": "CARTHAGE",
            "state": "TX",
            "postal_code": "756332549",
            "telephone_number": "903-234-0114"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "325 W SABINE ST",
            "address_2": "SUITE E5",
            "city": "CARTHAGE",
            "state": "TX",
            "postal_code": "756332549",
            "telephone_number": "903-234-0114"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THREE ANGEL'S COVENANT CARE 'LLC'",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-11-23",
        "last_updated": "2012-11-23",
        "status": "A",
        "authorized_official_last_name": "MALONE",
        "authorized_official_first_name": "EQUALLIA",
        "authorized_official_middle_name": "YVONNE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "903-234-0114",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "305S00000X",
            "taxonomy_group": "",
            "desc": "Point of Service",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Three Angel's Covenant Care 'LLC'",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Point of Service in Carthage, TX
• Providers in Carthage, TX by specialty
• Point of Service in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 23, 2012; 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.