Angel Aid CDS LLC

Primary specialty

In Home Supportive Care AgencyTaxonomy code 253Z00000X

Legal business name

ANGEL AID CDS LLC

Practice address

315 Lemay Ferry Rd Ste 128
Saint Louis, MO 63125-1550

Phone

(314) 814-1833

Fax

(314) 414-5200

NPI assigned

Mar 13, 2020

Organization subpart

No

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

Authorized official

Name

Tatjana Mandrapa

Title

Manager

Phone

(314) 814-1833

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1584057600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1584057600000",
    "number": "1639705320",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "315 LEMAY FERRY RD STE 128",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631251550",
            "telephone_number": "314-814-1833",
            "fax_number": "314-414-5200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "315 LEMAY FERRY RD STE 128",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631251550",
            "telephone_number": "314-814-1833",
            "fax_number": "314-414-5200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ANGEL AID CDS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-03-13",
        "last_updated": "2020-03-13",
        "certification_date": "2020-03-13",
        "status": "A",
        "authorized_official_last_name": "MANDRAPA",
        "authorized_official_first_name": "TATJANA",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "314-814-1833"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 13, 2020; 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.