Organization Active NPI

Amazing Angels LLC

  • Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
  • Colorado Springs, CO
National Provider Identifier
1679225064
Registry record updated Jan 26, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Intellectual and/or Developmental Disabilities Community Based Residential Treatment FacilityTaxonomy code 320900000X
Legal business name
AMAZING ANGELS LLC
Practice address
4810 Jet Wing Cir W
Colorado Springs, CO 80916-2149
Phone
(720) 635-4734
Fax
(720) 420-1322
NPI assigned
Jan 26, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 26, 2022

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

Authorized official

Name
Melany Wong
Title
Executive Director
Phone
(720) 635-4734

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility 320900000X Primary

Addresses

Primary practice location

4810 Jet Wing Cir W
Colorado Springs, CO 80916-2149

Mailing address

PO Box 274
Parker, CO 80134-0274
Phone (720) 635-4734

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1643155200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1643155200000",
    "number": "1679225064",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 274",
            "city": "PARKER",
            "state": "CO",
            "postal_code": "801340274",
            "telephone_number": "720-635-4734",
            "fax_number": "720-420-1322"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4810 JET WING CIR W",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809162149",
            "telephone_number": "720-635-4734",
            "fax_number": "720-420-1322"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AMAZING ANGELS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-01-26",
        "last_updated": "2022-01-26",
        "certification_date": "2022-01-26",
        "status": "A",
        "authorized_official_last_name": "WONG",
        "authorized_official_first_name": "MELANY",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "720-635-4734"
    },
    "taxonomies": [
        {
            "code": "320900000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Colorado Springs, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 26, 2022; 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.