Awesome Angels 2 LLC

Primary specialty

In Home Supportive Care AgencyTaxonomy code 253Z00000X

Legal business name

AWESOME ANGELS 2 LLC

Practice address

9191 W Florissant Ave Ste 202B
Saint Louis, MO 63136-1424

Phone

(636) 395-7251

NPI assigned

Sep 19, 2017

Last updated

Jul 21, 2022By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Lavonda Harmon

Title

Manager

Phone

(636) 395-7251

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1505779200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1184143364",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9191 W FLORISSANT AVE STE 202B",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631361424",
            "telephone_number": "636-395-7251"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9191 W FLORISSANT AVE STE 202B",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631361424",
            "telephone_number": "636-395-7251"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AWESOME ANGELS 2 LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-09-19",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "HARMON",
        "authorized_official_first_name": "LAVONDA",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "636-395-7251"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• In Home Supportive Care Agency in Saint Louis, MO
• Providers in Saint Louis, MO by specialty
• In Home Supportive Care Agency in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.