Organization Active NPI

Angelic Care Services LLC

  • Home Health Agency
  • Navasota, TX
National Provider Identifier
1588089726
Registry record updated Nov 29, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
ANGELIC CARE SERVICES LLC
Practice address
1017 S la Salle St
Navasota, TX 77868-4237
Phone
(713) 574-6444
Fax
(713) 574-8549
NPI assigned
Feb 25, 2014
Last updated
Nov 29, 2018By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 29, 2018

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

Authorized official

Name
Yata Stewart
Title
Administrator
Phone
(713) 574-6444

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary

Addresses

Primary practice location

1017 S la Salle St
Navasota, TX 77868-4237

Mailing address

1017 S la Salle St
Navasota, TX 77868-4237
Phone (713) 574-6444

Other identifiers 1

IdentifierTypeStateIssuer
3396848MedicaidTX

Other names 1

  • DMD HOME & COMPANION CARE SERVICES LLC Former legal business name

National Provider Directory

National Provider Directory

Locations

1017 S La Salle St
Navasota, TX 77868
Phone (713) 574-6444

NPI Registry JSON

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

{
    "created_epoch": "1393286400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1543449600000",
    "number": "1588089726",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1017 S LA SALLE ST",
            "city": "NAVASOTA",
            "state": "TX",
            "postal_code": "778684237",
            "telephone_number": "713-574-6444",
            "fax_number": "713-574-8549"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1017 S LA SALLE ST",
            "city": "NAVASOTA",
            "state": "TX",
            "postal_code": "778684237",
            "telephone_number": "713-574-6444",
            "fax_number": "713-574-8549"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ANGELIC CARE SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-02-25",
        "last_updated": "2018-11-29",
        "status": "A",
        "authorized_official_last_name": "STEWART",
        "authorized_official_first_name": "YATA",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "713-574-6444"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3396848",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "DMD HOME & COMPANION CARE SERVICES LLC",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Navasota, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 29, 2018; 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.