Organization Active NPI

Angel Home Care Services

  • In Home Supportive Care Agency
  • Meridian, MS
National Provider Identifier
1285480855
Registry record updated Apr 25, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
Legal business name
ANGEL HOME CARE SERVICES
Practice address
2217 Highway 39 North
Suite B
Meridian, MS 39307
Phone
(160) 480-6776
Fax
(601) 207-5095
NPI assigned
Apr 25, 2024
Last updated
Apr 25, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 25, 2024

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

Authorized official

Name
Mirim E. Holliday
Title
Owner
Phone
(601) 480-6776

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
In Home Supportive Care Agency 253Z00000X NU Primary

Addresses

Primary practice location

2217 Highway 39 North
Suite B
Meridian, MS 39307

Mailing address

2217 Highway 39 North
Suite B
Meridian, MS 39307
Phone (160) 480-6776

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1714003200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1714003200000",
    "number": "1285480855",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2217 HIGHWAY 39 NORTH",
            "address_2": "SUITE B",
            "city": "MERIDIAN",
            "state": "MS",
            "postal_code": "39307",
            "telephone_number": "160-480-6776",
            "fax_number": "601-207-5095"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2217 HIGHWAY 39 NORTH",
            "address_2": "SUITE B",
            "city": "MERIDIAN",
            "state": "MS",
            "postal_code": "39307",
            "telephone_number": "160-480-6776",
            "fax_number": "601-207-5095"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ANGEL HOME CARE SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-04-25",
        "last_updated": "2024-04-25",
        "certification_date": "2024-04-25",
        "status": "A",
        "authorized_official_last_name": "HOLLIDAY",
        "authorized_official_first_name": "MIRIM",
        "authorized_official_middle_name": "E.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "601-480-6776"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Meridian, MS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 25, 2024; 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.