Angels Corner LL

Primary specialty

Adult Mental Health Clinic/CenterTaxonomy code 261QM0850X

License

25896382 Issued in GA

Legal business name

ANGELS CORNER LL

Practice address

279 Hampton Rd S
Macon, GA 31217-8536

Phone

(478) 750-7747

Fax

(478) 750-7747

NPI assigned

Sep 27, 2011

Organization subpart

No

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

Authorized official

Name

Ms. Joanne B Mims, COUNSELOR

Title

Owner

Phone

(478) 750-7747

Specialties & licenses 3

Addresses

Other names 1

• Angels Corner l Doing business as

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

{
    "created_epoch": "1317081600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1317081600000",
    "number": "1679856629",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "279 HAMPTON RD S",
            "city": "MACON",
            "state": "GA",
            "postal_code": "312178536",
            "telephone_number": "478-750-7747",
            "fax_number": "478-750-7747"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "279 HAMPTON RD S",
            "city": "MACON",
            "state": "GA",
            "postal_code": "312178536",
            "telephone_number": "478-750-7747",
            "fax_number": "478-750-7747"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ANGELS CORNER LL",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-09-27",
        "last_updated": "2011-09-27",
        "status": "A",
        "authorized_official_last_name": "MIMS",
        "authorized_official_first_name": "JOANNE",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "478-750-7747",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "COUNSELOR"
    },
    "taxonomies": [
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": "GA",
            "license": "25896382",
            "primary": true
        },
        {
            "code": "311ZA0620X",
            "taxonomy_group": "",
            "desc": "Custodial Care Facility, Adult Care Home",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Angels Corner l",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Anesthesia Associates of Macon LLP
• Anesthesiology Associates of America LLC
• Eduardo Angel, M.D.
• Angelic Hearts Home Care LLC
• Angels at Divine Retreat LLC
• Angels of Mercy Private Homecare Services, Inc.
• Nathan Wade Anisko
• Isaac B Annan, MD
• Aqela Ansari
• Kimberly Anthony, CCC-SLP

• Adult Mental Health Clinic/Center in Macon, GA
• Providers in Macon, GA by specialty
• Adult Mental Health Clinic/Center in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 27, 2011; 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.