Organization Active NPI

Little Angels Therapy, Inc.

  • Community/Behavioral Health Agency
  • Hickory, NC
National Provider Identifier
1700401742
Registry record updated Jun 16, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
LITTLE ANGELS THERAPY, INC.
Practice address
2121 12TH Ave NE
Hickory, NC 28601-3187
Phone
(828) 578-6028
Fax
(855) 767-7030
NPI assigned
Jun 16, 2020
Last updated
Jun 16, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 16, 2020

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

Authorized official

Name
Thomas Doyle FordNPI 1467759027
Title
VP
Phone
(828) 302-2056

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Early Intervention Provider Agency 252Y00000X NU
Community/Behavioral Health Agency 251S00000X NU Primary

Addresses

Primary practice location

2121 12TH Ave NE
Hickory, NC 28601-3187

Mailing address

21 River Terrace CT
Taylorsville, NC 28681-3920
Phone (828) 302-2055

Other identifiers 1

IdentifierTypeStateIssuer
7200384MedicaidNC

National Provider Directory

National Provider Directory
Tax ID family
Little Angels Therapy Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1592265600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1592265600000",
    "number": "1700401742",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21 RIVER TERRACE CT",
            "city": "TAYLORSVILLE",
            "state": "NC",
            "postal_code": "286813920",
            "telephone_number": "828-302-2055",
            "fax_number": "855-767-7030"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2121 12TH AVE NE",
            "city": "HICKORY",
            "state": "NC",
            "postal_code": "286013187",
            "telephone_number": "828-578-6028",
            "fax_number": "855-767-7030"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LITTLE ANGELS THERAPY, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-06-16",
        "last_updated": "2020-06-16",
        "certification_date": "2020-06-16",
        "status": "A",
        "authorized_official_last_name": "FORD",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_middle_name": "DOYLE",
        "authorized_official_title_or_position": "VP",
        "authorized_official_telephone_number": "828-302-2056"
    },
    "taxonomies": [
        {
            "code": "252Y00000X",
            "taxonomy_group": "",
            "desc": "Early Intervention Provider Agency",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7200384",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Hickory, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 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.