Angel Arms LLC Elaine Niehaus

Primary specialty

Mental Illness Community Based Residential Treatment FacilityTaxonomy code 320800000X

License

17044193 Issued in MN

Legal business name

ANGEL ARMS LLC ELAINE NIEHAUS

Practice address

1228 10TH Ave N
Saint Cloud, MN 56303-2707

Phone

(320) 230-0764

NPI assigned

Dec 1, 2006

Last updated

Aug 22, 2020By 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

Rebecca Ann Campaanella

Title

Administrator

Phone

(218) 628-1684

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Angel Arms LLC Other name

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

{
    "created_epoch": "1164931200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1497823181",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "829 7TH AVE N",
            "city": "SAINT CLOUD",
            "state": "MN",
            "postal_code": "563032905",
            "telephone_number": "320-230-2472"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1228 10TH AVE N",
            "city": "SAINT CLOUD",
            "state": "MN",
            "postal_code": "563032707",
            "telephone_number": "320-230-0764"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ANGEL ARMS LLC ELAINE NIEHAUS",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-01",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "CAMPAANELLA",
        "authorized_official_first_name": "REBECCA",
        "authorized_official_middle_name": "ANN",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "218-628-1684"
    },
    "taxonomies": [
        {
            "code": "320800000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Mental Illness",
            "state": "MN",
            "license": "17044193",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AFC PROVIDER",
            "identifier": "10423701AFC",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Angel Arms LLC",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Mary Helen Andreotti, RN CNP
• Hannah Mary-Lynn Andrews
• Kathryn J Andrews, MS LP
• Scott Andrews, MD
• Anesthesia Associates of St. Cloud, LTD
• Courtney Jean Angell, RN CNP
• Kaelyn Angell, PHARMD
• Shakeel Anjum, MD
• Shelby Lynn Ankerfelt
• Jeffrey Ankrah

• Mental Illness Community Based Residential Treatment Facility in Saint Cloud, MN
• Providers in Saint Cloud, MN by specialty
• Mental Illness Community Based Residential Treatment Facility in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.