Organization Active NPI

Krystel Hope & Care

Doing business as Angelic Visits

  • Developmental Disabilities Clinic/Center
  • Memphis, TN
National Provider Identifier
1235522418
Registry record updated Mar 11, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Developmental Disabilities Clinic/CenterTaxonomy code 261QD1600X
Legal business name
KRYSTEL HOPE & CARE
Doing business as
Angelic Visits
Practice address
4466 Elvis Presley Blvd
Suite #118
Memphis, TN 38116-7180
Phone
(901) 346-3390
NPI assigned
Mar 11, 2015
Last updated
Mar 11, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 11, 2015

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

Authorized official

Name
Corneille Oule
Title
Owner
Phone
(901) 346-3390

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Developmental Disabilities Clinic/Center 261QD1600X NU Primary

Addresses

Primary practice location

4466 Elvis Presley Blvd
Suite #118
Memphis, TN 38116-7180

Mailing address

4064 Hermitage Dr
Memphis, TN 38116-5853
Phone (901) 346-3390

Other names 1

  • Angelic Visits Doing business as

National Provider Directory

National Provider Directory

Locations

4466 Elvis Presley Blvd
Ste 118
Memphis, TN 38116
Phone (901) 346-3390

NPI Registry JSON

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

{
    "created_epoch": "1426032000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1426032000000",
    "number": "1235522418",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4064 HERMITAGE DR",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381165853",
            "telephone_number": "901-346-3390"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4466 ELVIS PRESLEY BLVD",
            "address_2": "SUITE #118",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381167180",
            "telephone_number": "901-346-3390"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KRYSTEL HOPE & CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-03-11",
        "last_updated": "2015-03-11",
        "status": "A",
        "authorized_official_last_name": "OULE",
        "authorized_official_first_name": "CORNEILLE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "901-346-3390"
    },
    "taxonomies": [
        {
            "code": "261QD1600X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Developmental Disabilities",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Angelic Visits",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Memphis, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 11, 2015; 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.