Organization Active NPI

Angel Care P.C.a. SVCS., Inc.

  • Health Maintenance Organization
  • New Iberia, LA
National Provider Identifier
1285807289
Registry record updated Apr 10, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Health Maintenance OrganizationTaxonomy code 302R00000X
License
PCA 15007 Issued in LA
Legal business name
ANGEL CARE P.C.A. SVCS., INC.
Practice address
152 W Main St Ste B-5
New Iberia, LA 70560-3871
Phone
(337) 376-6150
Fax
(337) 256-8968
NPI assigned
Apr 10, 2008
Last updated
Apr 10, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 10, 2008

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

Authorized official

Name
Kristal Glover, R.N.
Title
Director
Phone
(504) 450-6835

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Health Maintenance Organization 302R00000X PCA 15007 LA Primary

Addresses

Primary practice location

152 W Main St Ste B-5
New Iberia, LA 70560-3871

Mailing address

119 Vine St
New Iberia, LA 70560-3638
Phone (337) 376-6150

National Provider Directory

National Provider Directory
Tax ID family
Angel Care Pca SVCS Inc3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

Locations

152 W Main St
Ste B5
New Iberia, LA 70560
Phone (337) 376-6150

NPI Registry JSON

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

{
    "created_epoch": "1207785600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1207785600000",
    "number": "1285807289",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "119 VINE ST",
            "city": "NEW IBERIA",
            "state": "LA",
            "postal_code": "705603638",
            "telephone_number": "337-376-6150",
            "fax_number": "337-256-8968"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "152 W MAIN ST STE B-5",
            "city": "NEW IBERIA",
            "state": "LA",
            "postal_code": "705603871",
            "telephone_number": "337-376-6150",
            "fax_number": "337-256-8968"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ANGEL CARE P.C.A. SVCS., INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-04-10",
        "last_updated": "2008-04-10",
        "status": "A",
        "authorized_official_last_name": "GLOVER",
        "authorized_official_first_name": "KRISTAL",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "504-450-6835",
        "authorized_official_credential": "R.N."
    },
    "taxonomies": [
        {
            "code": "302R00000X",
            "taxonomy_group": "",
            "desc": "Health Maintenance Organization",
            "state": "LA",
            "license": "PCA 15007",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New Iberia, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 10, 2008; 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.