Organization Active NPI

Angel'S Services

  • In Home Supportive Care Agency
  • Mesquite, TX
National Provider Identifier
1316365083
Registry record updated Nov 14, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
Legal business name
ANGEL'S SERVICES
Practice address
502 W Kearney St Ste 600
Mesquite, TX 75149-3426
Phone
(214) 429-1691
Fax
(214) 660-7353
NPI assigned
Mar 31, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 14, 2022

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

Authorized official

Name
Jacqueline Renea BrooksNPI 1750685020
Title
Ceo
Phone
(214) 429-1691

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

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

Addresses

Primary practice location

502 W Kearney St Ste 600
Mesquite, TX 75149-3426

Mailing address

111 Shady Creek LN
Terrell, TX 75160-5138
Phone (214) 429-1691

Other identifiers 1

IdentifierTypeStateIssuer
1316365083MedicaidTX

National Provider Directory

National Provider Directory

Locations

9550 Forest Ln
Ste 208
Dallas, TX 75243
Phone (214) 503-7785

502 W Kearney St
Ste 600
Mesquite, TX 75149
Phone (972) 288-5437

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1396224000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1668384000000",
    "number": "1316365083",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "111 SHADY CREEK LN",
            "city": "TERRELL",
            "state": "TX",
            "postal_code": "751605138",
            "telephone_number": "214-429-1691",
            "fax_number": "214-660-7353"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "502 W KEARNEY ST STE 600",
            "city": "MESQUITE",
            "state": "TX",
            "postal_code": "751493426",
            "telephone_number": "214-429-1691",
            "fax_number": "214-660-7353"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ANGEL'S SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-03-31",
        "last_updated": "2022-11-14",
        "certification_date": "2022-11-14",
        "status": "A",
        "authorized_official_last_name": "BROOKS",
        "authorized_official_first_name": "JACQUELINE",
        "authorized_official_middle_name": "RENEA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "214-429-1691"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1316365083",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Mesquite, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 14, 2022; 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.