Abundant Angels LLC

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Legal business name

ABUNDANT ANGELS LLC

Doing business as

Abundant Angels LLC

Practice address

6 Merri LN
Florissant, MO 63031-5233

Phone

(314) 494-3079

NPI assigned

Apr 24, 2018

Last updated

Apr 24, 2018By 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

Mrs. Carmanita Renae Jones-Jackson

Title

Owner

Phone

(314) 494-3079

Specialties & licenses 1

Addresses

Other names 1

• ABUNDANT ANGELS LLC Doing business as

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

{
    "created_epoch": "1524528000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1524528000000",
    "number": "1194213223",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6 MERRI LN",
            "city": "FLORISSANT",
            "state": "MO",
            "postal_code": "630315233",
            "telephone_number": "314-494-3079"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6 MERRI LN",
            "city": "FLORISSANT",
            "state": "MO",
            "postal_code": "630315233",
            "telephone_number": "314-494-3079"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ABUNDANT ANGELS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-04-24",
        "last_updated": "2018-04-24",
        "status": "A",
        "authorized_official_last_name": "JONES-JACKSON",
        "authorized_official_first_name": "CARMANITA",
        "authorized_official_middle_name": "RENAE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "314-494-3079",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "ABUNDANT ANGELS LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Home Health Agency in Florissant, MO
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• Home Health Agency in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 24, 2018; 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.