Active NPI
Angel Lovin' Care
- Custodial Care Facility
- Alexandria, LA
National Provider Identifier
1720200264
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Custodial Care Facility
- License
- 311ZA0620X
- Legal business name
- ANGEL LOVIN' CARE
- Practice address
- 2131 Wettermark St
Alexandria, LA 71301-3753 - Phone
- (318) 445-3141
- Fax
- (318) 445-3149
- NPI assigned
- May 3, 2007
- Last updated
- Aug 22, 2020
- 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
- Mrs. Carolyn D Desselles, R.N.
- Title
- Administrator
- Phone
- (318) 445-3141
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Custodial Care Facility | 311Z00000X | 311ZA0620X | LA | Primary |
Addresses
Primary practice location
2131 Wettermark St
Alexandria, LA 71301-3753
Mailing address
2131 Wettermark St
Alexandria, LA 71301-3753
Phone (318) 445-3141
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1172197 | Medicaid | LA |
National Provider Directory
National Provider Directory- Tax ID family
- Angel Lovin' Care
Other organizations with this tax ID 2
Organizations that report the same tax identification number in the National Provider Directory.
-
- Adult Care Home Facility
- Alexandria, LA
- NPI 1619079787
-
- Custodial Care Facility
- Alexandria, LA
- NPI 1083828776
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1178150400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1720200264",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2131 WETTERMARK ST",
"city": "ALEXANDRIA",
"state": "LA",
"postal_code": "713013753",
"telephone_number": "318-445-3141",
"fax_number": "318-445-3149"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2131 WETTERMARK ST",
"city": "ALEXANDRIA",
"state": "LA",
"postal_code": "713013753",
"telephone_number": "318-445-3141",
"fax_number": "318-445-3149"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ANGEL LOVIN' CARE",
"organizational_subpart": "NO",
"enumeration_date": "2007-05-03",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "DESSELLES",
"authorized_official_first_name": "CAROLYN",
"authorized_official_middle_name": "D",
"authorized_official_title_or_position": "ADMINISTRATOR",
"authorized_official_telephone_number": "318-445-3141",
"authorized_official_name_prefix": "Mrs.",
"authorized_official_credential": "R.N."
},
"taxonomies": [
{
"code": "311Z00000X",
"taxonomy_group": "",
"desc": "Custodial Care Facility",
"state": "LA",
"license": "311ZA0620X",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1172197",
"state": "LA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Alexandria, LA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 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.