Organization Active NPI

TD Angel Homecare LLC

  • In Home Supportive Care Agency
  • Laurel, MS
National Provider Identifier
1548149107
Registry record updated Aug 28, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
Legal business name
TD ANGEL HOMECARE LLC
Doing business as
TD Mobile Lab & Specimen
Practice address
409 W Oak St
Laurel, MS 39440-3948
Phone
(601) 670-0299
NPI assigned
Aug 28, 2025
Organization subpart
Yes
Parent organization
TD ANGEL HOMECARE LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Aug 28, 2025

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

Authorized official

Name
Tangela Dantzler
Title
Owner
Phone
(601) 670-0299

Specialties & licenses 9

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 1041C0700X
Case Management Agency 251B00000X
Home Health Agency 251E00000X
Nursing Care Agency 251J00000X
In Home Supportive Care Agency 253Z00000X Primary
Clinical Medical Laboratory 291U00000X
Non-emergency Medical Transport (VAN) 343900000X
Private Vehicle 347C00000X
Respite Care 385H00000X

Addresses

Primary practice location

409 W Oak St
Laurel, MS 39440-3948

Mailing address

409 W Oak St
Laurel, MS 39440-3948
Phone (601) 670-0299

Other names 1

  • TD Mobile Lab & Specimen Doing business as

National Provider Directory

National Provider Directory
Part of
TD Angel Homecare LLC

Locations

409 W Oak St
Laurel, MS 39440
Phone (601) 670-0299

NPI Registry JSON

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

{
    "created_epoch": "1756339200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1756339200000",
    "number": "1548149107",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "409 W OAK ST",
            "city": "LAUREL",
            "state": "MS",
            "postal_code": "394403948",
            "telephone_number": "601-670-0299"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "409 W OAK ST",
            "city": "LAUREL",
            "state": "MS",
            "postal_code": "394403948",
            "telephone_number": "601-670-0299"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TD ANGEL HOMECARE LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "TD ANGEL HOMECARE LLC",
        "enumeration_date": "2025-08-28",
        "last_updated": "2025-08-28",
        "certification_date": "2025-08-28",
        "status": "A",
        "authorized_official_last_name": "DANTZLER",
        "authorized_official_first_name": "TANGELA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "601-670-0299"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251J00000X",
            "taxonomy_group": "",
            "desc": "Nursing Care",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "347C00000X",
            "taxonomy_group": "",
            "desc": "Private Vehicle",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "385H00000X",
            "taxonomy_group": "",
            "desc": "Respite Care",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "TD Mobile Lab & Specimen",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Laurel, MS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 28, 2025; 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.