Active NPI
God'S Missing Angel'S LLC
- Assisted Living Facility
- Chesapeake, VA
National Provider Identifier
1629476650
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Assisted Living Facility
- Legal business name
- GOD'S MISSING ANGEL'S LLC
- Practice address
- 301 Croft Xing
Chesapeake, VA 23320-7006 - Phone
- (757) 312-8633
- NPI assigned
- Dec 8, 2014
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Ms. Sherrell Linnette Baily, RN
- Title
- Owner
- Phone
- (757) 312-8633
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Assisted Living Facility | 310400000X | Primary | ||
| Assisted Living Facility (Mental Illness) | 3104A0625X | |||
| Assisted Living Facility (Behavioral Disturbances) | 3104A0630X | |||
| Adult Care Home Facility | 311ZA0620X |
Addresses
Primary practice location
301 Croft Xing
Chesapeake, VA 23320-7006
Mailing address
301 Croft Xing
Chesapeake, VA 23320-7006
Phone (757) 312-8633
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1417996800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1417996800000",
"number": "1629476650",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "301 CROFT XING",
"city": "CHESAPEAKE",
"state": "VA",
"postal_code": "233207006",
"telephone_number": "757-312-8633",
"fax_number": "757-312-8633"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "301 CROFT XING",
"city": "CHESAPEAKE",
"state": "VA",
"postal_code": "233207006",
"telephone_number": "757-312-8633"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "GOD'S MISSING ANGEL'S LLC",
"organizational_subpart": "NO",
"enumeration_date": "2014-12-08",
"last_updated": "2014-12-08",
"status": "A",
"authorized_official_last_name": "BAILY",
"authorized_official_first_name": "SHERRELL",
"authorized_official_middle_name": "LINNETTE",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "757-312-8633",
"authorized_official_name_prefix": "Ms.",
"authorized_official_credential": "RN"
},
"taxonomies": [
{
"code": "310400000X",
"taxonomy_group": "",
"desc": "Assisted Living Facility",
"state": null,
"license": null,
"primary": true
},
{
"code": "3104A0625X",
"taxonomy_group": "",
"desc": "Assisted Living Facility, Assisted Living, Mental Illness",
"state": null,
"license": null,
"primary": false
},
{
"code": "3104A0630X",
"taxonomy_group": "",
"desc": "Assisted Living Facility, Assisted Living, Behavioral Disturbances",
"state": null,
"license": null,
"primary": false
},
{
"code": "311ZA0620X",
"taxonomy_group": "",
"desc": "Custodial Care Facility, Adult Care Home",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Chesapeake, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 8, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.