Active NPI
Angelic Healthcare Services LLC
- In Home Supportive Care Agency
- Saint Louis, MO
National Provider Identifier
1316104201
On this page
Key facts
NPPES NPI Registry- Primary specialty
- In Home Supportive Care Agency
- License
- B00173634
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 DirectoryNPI 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.