Organization Active NPI

Isaiah'S Angels LLC

  • Preferred Provider Organization
  • Saint Louis, MO
National Provider Identifier
1508308578
Registry record updated Nov 8, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Preferred Provider OrganizationTaxonomy code 305R00000X
License
LC9814999 Issued in MO
Legal business name
ISAIAH'S ANGELS LLC
Practice address
5261 Delmar Blvd
Suite 210B
Saint Louis, MO 63108-1063
Phone
(314) 322-3994
NPI assigned
Nov 8, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 8, 2016

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

Authorized official

Name
Ms. Carolyn Warren
Title
Director
Phone
(314) 322-3994

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Preferred Provider Organization 305R00000X LC9814999 MO Primary

Addresses

Primary practice location

5261 Delmar Blvd
Suite 210B
Saint Louis, MO 63108-1063

Mailing address

8739 Agate CT
Saint Louis, MO 63136-3700

National Provider Directory

National Provider Directory

Locations

5261 Delmar Blvd
Ste 210B
Saint Louis, MO 63108
Phone (314) 322-3994

NPI Registry JSON

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

{
    "created_epoch": "1478563200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1478563200000",
    "number": "1508308578",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8739 AGATE CT",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631363700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5261 DELMAR BLVD",
            "address_2": "SUITE 210B",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631081063",
            "telephone_number": "314-322-3994"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ISAIAH'S ANGELS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-11-08",
        "last_updated": "2016-11-08",
        "status": "A",
        "authorized_official_last_name": "WARREN",
        "authorized_official_first_name": "CAROLYN",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "314-322-3994",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "305R00000X",
            "taxonomy_group": "",
            "desc": "Preferred Provider Organization",
            "state": "MO",
            "license": "LC9814999",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Louis, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 8, 2016; 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.