Angels on Your Side Home Care

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Legal business name

ANGELS ON YOUR SIDE HOME CARE

Practice address

2022 E Broadway St
Forrest City, AR 72335-7881

Phone

(870) 455-3004

NPI assigned

May 24, 2019

Last updated

Nov 3, 2021By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Taimeka Haggans

Title

Ceo

Phone

(870) 455-3004

Specialties & licenses 5

Addresses

Other identifiers 4

Electronic endpoints 1

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

{
    "created_epoch": "1558656000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1635897600000",
    "number": "1356908214",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 462",
            "city": "FORREST CITY",
            "state": "AR",
            "postal_code": "723360462",
            "telephone_number": "870-455-3004"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2022 E BROADWAY ST",
            "city": "FORREST CITY",
            "state": "AR",
            "postal_code": "723357881",
            "telephone_number": "870-455-3004"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ANGELS ON YOUR SIDE HOME CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-05-24",
        "last_updated": "2021-11-03",
        "certification_date": "2021-11-03",
        "status": "A",
        "authorized_official_last_name": "HAGGANS",
        "authorized_official_first_name": "TAIMEKA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "870-455-3004"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "320900000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "232898797",
            "state": "AR"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "265101757",
            "state": "AR"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "273118767",
            "state": "AR"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "232714732",
            "state": "AR"
        }
    ],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "onyoursidehomecare@yahoo.com",
            "affiliation": "N",
            "endpointDescription": "email address",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "47 Sfc 223",
            "city": "Colt",
            "state": "AR",
            "country_code": "US",
            "postal_code": "723268305",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Ambulance Services of Forrest City LLC (Emergency Medical Services of Arkansas)
• Jasmine Anderson
• Ramona Anquenette Anderson, CRNA
• Sophia Noel Anderson, COTA
• Andrea Denson-Means DMD (A Dental Means)
• Stephanie Chapman Apple
• Brandon Darnell Applewhite
• Arcare (Arcare170)
• Taylor Arens
• Arkansas Department of Health

• Home Health Agency in Forrest City, AR
• Providers in Forrest City, AR by specialty
• Home Health Agency in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 3, 2021; 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.