NPIMap

Organization Active NPI

Community Angels of Hope, LLC

  • Community/Behavioral Health Agency
  • Bossier City, LA
National Provider Identifier
1285820266
Registry record updated Sep 24, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
6885 Issued in LA
Legal business name
COMMUNITY ANGELS OF HOPE, LLC
Practice address
2750 Shed Rd Ste D2
Bossier City, LA 71111-3386
Phone
(318) 746-4673
Fax
(318) 549-9003
NPI assigned
Sep 24, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 24, 2007

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

Authorized official

Name
Holly Johnson
Title
President
Phone
(318) 746-4673

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X 6885 LA Primary

Addresses

Primary practice location

2750 Shed Rd Ste D2
Bossier City, LA 71111-3386

Mailing address

2750 Shed Rd Ste D2
Bossier City, LA 71111-3386
Phone (318) 746-4673

Other identifiers 1

IdentifierTypeStateIssuer
1529770MedicaidLA

National Provider Directory

National Provider Directory
Tax ID family
Community Angels of Hope LLC7 organizations share this tax ID, including this one

Other organizations with this tax ID 6

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

NPI Registry JSON

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

{
    "created_epoch": "1190592000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1190592000000",
    "number": "1285820266",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2750 SHED RD STE D2",
            "city": "BOSSIER CITY",
            "state": "LA",
            "postal_code": "711113386",
            "telephone_number": "318-746-4673",
            "fax_number": "318-549-9003"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2750 SHED RD STE D2",
            "city": "BOSSIER CITY",
            "state": "LA",
            "postal_code": "711113386",
            "telephone_number": "318-746-4673",
            "fax_number": "318-549-9003"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMMUNITY ANGELS OF HOPE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-09-24",
        "last_updated": "2007-09-24",
        "status": "A",
        "authorized_official_last_name": "JOHNSON",
        "authorized_official_first_name": "HOLLY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "318-746-4673"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "LA",
            "license": "6885",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1529770",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bossier City, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 24, 2007; 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.