Smiling Angel Home Care Service LLC

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

License

37790100 Issued in ND

Legal business name

SMILING ANGEL HOME CARE SERVICE LLC

Practice address

1413 N 35TH St Unit 3
Bismarck, ND 58501-7714

Phone

(701) 226-0456

Fax

(701) 751-2753

NPI assigned

Mar 23, 2015

Organization subpart

No

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

Authorized official

Name

Maxine Monica Gordon

Title

President

Phone

(701) 226-0456

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1427068800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1427068800000",
    "number": "1598159063",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1413 N 35TH ST UNIT 3",
            "city": "BISMARCK",
            "state": "ND",
            "postal_code": "585017714",
            "telephone_number": "701-226-0456",
            "fax_number": "701-751-2753"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1413 N 35TH ST UNIT 3",
            "city": "BISMARCK",
            "state": "ND",
            "postal_code": "585017714",
            "telephone_number": "701-226-0456",
            "fax_number": "701-751-2753"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SMILING ANGEL HOME CARE SERVICE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-03-23",
        "last_updated": "2015-03-23",
        "status": "A",
        "authorized_official_last_name": "GORDON",
        "authorized_official_first_name": "MAXINE",
        "authorized_official_middle_name": "MONICA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "701-226-0456"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "ND",
            "license": "37790100",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Hannah Rachel Small, PA-C
• Renee R Small, NP
• John Smetana
• Smile Doctors of North Dakota, P.C.
• Smiles by Design PC
• Allison Smith
• Betty Smith, CSW/LMSW
• Cassandra Lauren Smith, LCAC
• Chad Smith
• Charles Jackson Smith, MD

• Home Health Agency in Bismarck, ND
• Providers in Bismarck, ND by specialty
• Home Health Agency in North Dakota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 23, 2015; 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.