Active NPI
Attending Angels Home Care
- In Home Supportive Care Agency
- Saint Clair, MO
National Provider Identifier
1457797466
On this page
Key facts
NPPES NPI Registry- Primary specialty
- In Home Supportive Care Agency
- Legal business name
- ATTENDING ANGELS HOME CARE
- Practice address
- 130 Highway Ab
Saint Clair, MO 63077-3002 - Phone
- (314) 458-9041
- Fax
- (636) 629-8088
- NPI assigned
- May 16, 2013
- Organization subpart
- No
Authorized official
NPPES NPI Registry- Name
- Mr. Mike Mahoney
- Title
- Manager
- Phone
- (314) 504-1952
National Provider Directory
National Provider Directory- Tax ID family
- Attending Angels Home Care
Other organizations with this tax ID 2
Organizations that report the same tax identification number in the National Provider Directory.
-
- In Home Supportive Care Agency
- Saint Clair, MO
- NPI 1609009018
-
- Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
- Saint Clair, MO
- NPI 1366885105
Locations
130 Highway Ab
Saint Clair, MO 63077
Phone (314) 458-9041
375 S Main St
Saint Clair, MO 63077
Specialties & licenses 3
NPPES NPI Registry| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| In Home Supportive Care Agency | 253Z00000X | Primary | ||
| Health Maintenance Organization | 302R00000X | |||
| Preferred Provider Organization | 305R00000X |
Addresses
NPPES NPI RegistryPrimary practice location
130 Highway Ab
Saint Clair, MO 63077-3002
Mailing address
130 Highway Ab
Saint Clair, MO 63077-3002
Phone (143) 458-9041
Other identifiers 1
NPPES NPI Registry| Identifier | Type | State | Issuer |
|---|---|---|---|
| 000011794 | Medicaid | MO |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Mar 24, 2023.
{
"created_epoch": "1368662400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1679616000000",
"number": "1457797466",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "130 HIGHWAY AB",
"city": "SAINT CLAIR",
"state": "MO",
"postal_code": "630773002",
"telephone_number": "143-458-9041",
"fax_number": "636-629-8088"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "130 HIGHWAY AB",
"city": "SAINT CLAIR",
"state": "MO",
"postal_code": "630773002",
"telephone_number": "314-458-9041",
"fax_number": "636-629-8088"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ATTENDING ANGELS HOME CARE",
"organizational_subpart": "NO",
"enumeration_date": "2013-05-16",
"last_updated": "2023-03-24",
"certification_date": "2023-03-24",
"status": "A",
"authorized_official_last_name": "MAHONEY",
"authorized_official_first_name": "MIKE",
"authorized_official_title_or_position": "MANAGER",
"authorized_official_telephone_number": "314-504-1952",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "253Z00000X",
"taxonomy_group": "",
"desc": "In Home Supportive Care",
"state": null,
"license": null,
"primary": true
},
{
"code": "302R00000X",
"taxonomy_group": "",
"desc": "Health Maintenance Organization",
"state": null,
"license": null,
"primary": false
},
{
"code": "305R00000X",
"taxonomy_group": "",
"desc": "Preferred Provider Organization",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "000011794",
"state": "MO"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Saint Clair, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 24, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.