Angel Wings Personal and Respite Care Home

Primary specialty

Respite CareTaxonomy code 385H00000X

Legal business name

ANGEL WINGS PERSONAL AND RESPITE CARE HOME

Practice address

1011 Pearl River Avenue Ext
McComb, MS 39648-8646

Phone

(601) 324-3251

Fax

(601) 324-3251

NPI assigned

May 12, 2017

Organization subpart

No

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

Authorized official

Name

Mrs. Sokhen BatesNPI 1760921316

Title

President/Ceo

Phone

(601) 324-3251

Specialties & licenses 3

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Sokhen Bates

  • Respite Care
  • Magnolia, MS
  • NPI 1760921316
  NPD (past) Authorized official

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

{
    "created_epoch": "1494547200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1494547200000",
    "number": "1225565989",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1011 PEARL RIVER AVENUE EXT",
            "city": "MCCOMB",
            "state": "MS",
            "postal_code": "396488646",
            "telephone_number": "601-324-3251",
            "fax_number": "601-324-3251"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1011 PEARL RIVER AVENUE EXT",
            "city": "MCCOMB",
            "state": "MS",
            "postal_code": "396488646",
            "telephone_number": "601-324-3251",
            "fax_number": "601-324-3251"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ANGEL WINGS PERSONAL AND RESPITE CARE HOME",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-05-12",
        "last_updated": "2017-05-12",
        "status": "A",
        "authorized_official_last_name": "BATES",
        "authorized_official_first_name": "SOKHEN",
        "authorized_official_title_or_position": "PRESIDENT/CEO",
        "authorized_official_telephone_number": "601-324-3251",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "385H00000X",
            "taxonomy_group": "",
            "desc": "Respite Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Carolyn Anderson
• Paul R. Anderson III, CRNA
• Sarah Dart Andrews, CRNA
• Anesthesia Services Associates, PLLC
• Angel Hands Home Care
• Davonda Applewhite, PCMHT
• Kathryn Amanda Arnold, NP-C
• Steven Ray Arnold, ACNP
• Michael Artigues, M.D., F.A.A.P.
• Patricia D Artigues, LCSW

• All providers in McComb, MS
• Respite Care in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 12, 2017; 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.