NPIMap

Organization Active NPI

Neal W.Angrum

  • Early Intervention Provider Agency
  • Clinton, LA
National Provider Identifier
1346412830
Registry record updated Jun 12, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Early Intervention Provider AgencyTaxonomy code 252Y00000X
License
1409456 Issued in LA
Legal business name
NEAL W.ANGRUM
Practice address
10249 Hwy 67
Clinton, LA 70722
Phone
(225) 683-3997
Fax
(318) 651-9107
NPI assigned
Mar 25, 2008
Last updated
Jun 12, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 12, 2008

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

Authorized official

Name
Mr. Neal Wade Angrum
Title
Owner
Phone
(318) 450-1478

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Early Intervention Provider Agency 252Y00000X 1409456 LA Primary

Addresses

Primary practice location

10249 Hwy 67
Clinton, LA 70722

Mailing address

408 Thatcher LN
Monroe, LA 71203-6516
Phone (318) 450-1478

National Provider Directory

National Provider Directory
Tax ID family
Faith and Hope Wellness Center13 organizations share this tax ID, including this one

Other organizations with this tax ID 12

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": "1206403200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1213228800000",
    "number": "1346412830",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "408 THATCHER LN",
            "city": "MONROE",
            "state": "LA",
            "postal_code": "712036516",
            "telephone_number": "318-450-1478",
            "fax_number": "318-651-9107"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10249 HWY 67",
            "city": "CLINTON",
            "state": "LA",
            "postal_code": "70722",
            "telephone_number": "225-683-3997",
            "fax_number": "318-651-9107"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEAL W.ANGRUM",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-03-25",
        "last_updated": "2008-06-12",
        "status": "A",
        "authorized_official_last_name": "ANGRUM",
        "authorized_official_first_name": "NEAL",
        "authorized_official_middle_name": "WADE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "318-450-1478",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "252Y00000X",
            "taxonomy_group": "",
            "desc": "Early Intervention Provider Agency",
            "state": "LA",
            "license": "1409456",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Clinton, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 12, 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.