Organization Active NPI

Attending Angels Home Care

  • In Home Supportive Care Agency
  • Saint Clair, MO
National Provider Identifier
1457797466
Registry record updated Mar 24, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
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 Care3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

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)CodeLicenseStatePrimary
In Home Supportive Care Agency 253Z00000X Primary
Health Maintenance Organization 302R00000X
Preferred Provider Organization 305R00000X

Addresses

NPPES NPI Registry

Primary 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
IdentifierTypeStateIssuer
000011794MedicaidMO

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.

Verify at the official NPI Registry.