Organization Active NPI

Angelic Healthcare Services LLC

  • In Home Supportive Care Agency
  • Saint Louis, MO
National Provider Identifier
1316104201
Registry record updated Dec 4, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
License
B00173634 Issued in MO
Legal business name
ANGELIC HEALTHCARE SERVICES LLC
Practice address
7220 Saint Charles Rock Rd
Saint Louis, MO 63133-1758
Phone
(314) 361-5000
Fax
(314) 361-5001
NPI assigned
May 19, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 4, 2018

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

Authorized official

Name
Ms. Twanice L. Mitchell
Title
Director
Phone
(314) 565-6416

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X MO
Nursing Care Agency 251J00000X B00173634 MO
In Home Supportive Care Agency 253Z00000X B00173634 MO Primary
Adult Day Care Clinic/Center 261QA0600X

Addresses

Primary practice location

7220 Saint Charles Rock Rd
Saint Louis, MO 63133-1758

Mailing address

PO Box 38254
Saint Louis, MO 63138-0254
Phone (314) 565-6416

Other practice location 1

12227 Fontaine Ln
Saint Louis, MO 63138-1425
Phone (314) 565-6416

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1211155200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1543881600000",
    "number": "1316104201",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 38254",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631380254",
            "telephone_number": "314-565-6416",
            "fax_number": "314-869-1184"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7220 SAINT CHARLES ROCK RD",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631331758",
            "telephone_number": "314-361-5000",
            "fax_number": "314-361-5001"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "12227 Fontaine Ln",
            "address_purpose": "LOCATION",
            "city": "Saint Louis",
            "state": "MO",
            "postal_code": "631381425",
            "country_code": "US",
            "telephone_number": "314-565-6416",
            "fax_number": "314-869-1184",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "ANGELIC HEALTHCARE SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-05-19",
        "last_updated": "2018-12-04",
        "status": "A",
        "authorized_official_last_name": "MITCHELL",
        "authorized_official_first_name": "TWANICE",
        "authorized_official_middle_name": "L.",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "314-565-6416",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "MO",
            "license": null,
            "primary": false
        },
        {
            "code": "251J00000X",
            "taxonomy_group": "",
            "desc": "Nursing Care",
            "state": "MO",
            "license": "B00173634",
            "primary": false
        },
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": "MO",
            "license": "B00173634",
            "primary": true
        },
        {
            "code": "261QA0600X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Day Care",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Louis, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 4, 2018; 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.