NPIMap

Organization Active NPI

Mission Medstaff, LLC

  • In Home Supportive Care Agency
  • Kernersville, NC
National Provider Identifier
1578034088
Registry record updated Aug 19, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
Legal business name
MISSION MEDSTAFF, LLC
Doing business as
Angels of Care
Practice address
416A W Mountain St
Kernersville, NC 27284-2534
Phone
(336) 268-8887
NPI assigned
Dec 9, 2018
Organization subpart
Yes
Parent organization
MISSION MEDSTAFF, LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Aug 19, 2024

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

Authorized official

Name
Jessica L Riggs
Title
Ceo
Phone
(903) 271-2847

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nursing Care Agency 251J00000X
In Home Supportive Care Agency 253Z00000X Primary

Addresses

Primary practice location

416A W Mountain St
Kernersville, NC 27284-2534

Mailing address

7300 State Highway 121 Ste 250
McKinney, TX 75070-1991
Phone (210) 875-0853

Other identifiers 2

IdentifierTypeStateIssuer
6602032MedicaidNC
3418800MedicaidNC

Other names 1

  • Angels of Care Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Mission Medstaff LLC5 organizations share this tax ID, including this one
Part of
Mission Medstaff LLC

Other organizations with this tax ID 4

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

Locations

2302 W Meadowview Rd
Ste 102
Greensboro, NC 27407

NPI Registry JSON

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

{
    "created_epoch": "1544313600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1724025600000",
    "number": "1578034088",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7300 STATE HIGHWAY 121 STE 250",
            "city": "MCKINNEY",
            "state": "TX",
            "postal_code": "750701991",
            "telephone_number": "210-875-0853"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "416A W MOUNTAIN ST",
            "city": "KERNERSVILLE",
            "state": "NC",
            "postal_code": "272842534",
            "telephone_number": "336-268-8887"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MISSION MEDSTAFF, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "MISSION MEDSTAFF, LLC",
        "enumeration_date": "2018-12-09",
        "last_updated": "2024-08-19",
        "certification_date": "2024-08-19",
        "status": "A",
        "authorized_official_last_name": "RIGGS",
        "authorized_official_first_name": "JESSICA",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "903-271-2847"
    },
    "taxonomies": [
        {
            "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
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6602032",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3418800",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Angels of Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Kernersville, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 19, 2024; 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.