Organization Active NPI

Angels Outreach, Inc.

  • Substance Abuse Rehabilitation Facility
  • Montgomery, AL
National Provider Identifier
1174695142
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Substance Abuse Rehabilitation FacilityTaxonomy code 324500000X
Legal business name
ANGELS OUTREACH, INC.
Practice address
2921 Marti LN Ste 5B
Montgomery, AL 36116-3115
Phone
(334) 356-3597
Fax
(334) 356-3991
NPI assigned
Nov 15, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mrs. Debra T Smith-Matfield
Title
Owner
Phone
(334) 356-3597

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Substance Abuse Rehabilitation Facility 324500000X Primary

Addresses

Primary practice location

2921 Marti LN Ste 5B
Montgomery, AL 36116-3115

Mailing address

2921 Marti LN Ste 5B
Montgomery, AL 36116-3115
Phone (334) 356-3597

National Provider Directory

National Provider Directory

Locations

2921 Marti Ln
Ste 5B
Montgomery, AL 36116
Phone (334) 356-3597

NPI Registry JSON

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

{
    "created_epoch": "1163548800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1174695142",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2921 MARTI LN STE 5B",
            "city": "MONTGOMERY",
            "state": "AL",
            "postal_code": "361163115",
            "telephone_number": "334-356-3597",
            "fax_number": "334-356-3225"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2921 MARTI LN STE 5B",
            "city": "MONTGOMERY",
            "state": "AL",
            "postal_code": "361163115",
            "telephone_number": "334-356-3597",
            "fax_number": "334-356-3991"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ANGELS OUTREACH, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-15",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "SMITH-MATFIELD",
        "authorized_official_first_name": "DEBRA",
        "authorized_official_middle_name": "T",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "334-356-3597",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Montgomery, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.