Organization Active NPI

Angels PRN, Inc.

  • Home Health Agency
  • Yuma, AZ
National Provider Identifier
1477764348
Registry record updated Dec 30, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
HHA3767 Issued in AZ
Legal business name
ANGELS PRN, INC.
Practice address
2755 S 4TH Ave BLDG 1
Suite 101
Yuma, AZ 85364-7298
Phone
(928) 726-9163
Fax
(928) 726-1040
NPI assigned
May 24, 2007
Last updated
Dec 30, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 30, 2009

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

Authorized official

Name
Mrs. Melinda Sue Perez
Title
President
Phone
(928) 726-9163

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X HHA3767 AZ Primary

Addresses

Primary practice location

2755 S 4TH Ave BLDG 1
Suite 101
Yuma, AZ 85364-7298

Mailing address

2755 S 4TH Ave BLDG 1
Suite 101
Yuma, AZ 85364-7298
Phone (928) 726-9163

Other identifiers 1

IdentifierTypeStateIssuer
920266MedicaidAZ

National Provider Directory

National Provider Directory

Locations

2755 S 4th Ave
Bldg 1
Yuma, AZ 85364
Phone (928) 726-9163

2755 S 4th Ave
Bldg 3
Yuma, AZ 85364
Phone (928) 329-0910

NPI Registry JSON

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

{
    "created_epoch": "1179964800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1262131200000",
    "number": "1477764348",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2755 S 4TH AVE BLDG 1",
            "address_2": "SUITE 101",
            "city": "YUMA",
            "state": "AZ",
            "postal_code": "853647298",
            "telephone_number": "928-726-9163",
            "fax_number": "928-726-1040"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2755 S 4TH AVE BLDG 1",
            "address_2": "SUITE 101",
            "city": "YUMA",
            "state": "AZ",
            "postal_code": "853647298",
            "telephone_number": "928-726-9163",
            "fax_number": "928-726-1040"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ANGELS PRN, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-24",
        "last_updated": "2009-12-30",
        "status": "A",
        "authorized_official_last_name": "PEREZ",
        "authorized_official_first_name": "MELINDA",
        "authorized_official_middle_name": "SUE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "928-726-9163",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "AZ",
            "license": "HHA3767",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "920266",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Yuma, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 30, 2009; 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.