Organization Active NPI

Angel Wings Homes

  • Home Health Agency
  • Grand Prairie, TX
National Provider Identifier
1194269316
Registry record updated Dec 6, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
802588455 Issued in TX
Legal business name
ANGEL WINGS HOMES
Practice address
2232 Palmer TRL
Grand Prairie, TX 75052-1962
Phone
(817) 896-2489
Fax
(972) 639-3429
NPI assigned
Dec 6, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 6, 2016

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

Authorized official

Name
Gwen Halley
Title
Manager
Phone
(817) 896-2489

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X 802588455 TX Primary

Addresses

Primary practice location

2232 Palmer TRL
Grand Prairie, TX 75052-1962

Mailing address

2232 Palmer TRL
Grand Prairie, TX 75052-1962
Phone (817) 896-2489

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1480982400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1480982400000",
    "number": "1194269316",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2232 PALMER TRL",
            "city": "GRAND PRAIRIE",
            "state": "TX",
            "postal_code": "750521962",
            "telephone_number": "817-896-2489",
            "fax_number": "972-639-3429"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2232 PALMER TRL",
            "city": "GRAND PRAIRIE",
            "state": "TX",
            "postal_code": "750521962",
            "telephone_number": "817-896-2489",
            "fax_number": "972-639-3429"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ANGEL WINGS HOMES",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-12-06",
        "last_updated": "2016-12-06",
        "status": "A",
        "authorized_official_last_name": "HALLEY",
        "authorized_official_first_name": "GWEN",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "817-896-2489"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "TX",
            "license": "802588455",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Grand Prairie, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 6, 2016; 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.