Organization Active NPI

Angel Lovin' Care

  • Custodial Care Facility
  • Alexandria, LA
National Provider Identifier
1720200264
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Custodial Care FacilityTaxonomy code 311Z00000X
License
311ZA0620X Issued in LA
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, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
1172197MedicaidLA

National Provider Directory

National Provider Directory
Tax ID family
Angel Lovin' Care3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

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

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.

Verify at the official NPI Registry.