House of Angel'S

Primary specialty

Intellectual and/or Developmental Disabilities Residential Treatment FacilityTaxonomy code 320600000X

Legal business name

HOUSE OF ANGEL'S

Practice address

2508 Balsam St
Longview, TX 75605-2312

Phone

(903) 917-2458

NPI assigned

Aug 11, 2015

Organization subpart

No

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

Authorized official

Name

Reta Velissa Sanders

Title

Pragram Manger

Phone

(903) 917-2458

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1439251200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1439251200000",
    "number": "1720454929",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2508 BALSAM ST",
            "city": "LONGVIEW",
            "state": "TX",
            "postal_code": "756052312",
            "telephone_number": "903-917-2458"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2508 BALSAM ST",
            "city": "LONGVIEW",
            "state": "TX",
            "postal_code": "756052312",
            "telephone_number": "903-917-2458"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOUSE OF ANGEL'S",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-08-11",
        "last_updated": "2015-08-11",
        "status": "A",
        "authorized_official_last_name": "SANDERS",
        "authorized_official_first_name": "RETA",
        "authorized_official_middle_name": "VELISSA",
        "authorized_official_title_or_position": "PRAGRAM  MANGER",
        "authorized_official_telephone_number": "903-917-2458"
    },
    "taxonomies": [
        {
            "code": "320600000X",
            "taxonomy_group": "",
            "desc": "Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Hospice Longview, Inc.
• Abigail Houck, COTA
• Rebecca L Hough, MD
• Robert Darrell Hough Jr., MD
• Steven Jerald Hough, MD
• Braydon Howard
• Carolyn Howard, LCDC
• Emmalee Howard, RBT
• Walter Kim Howard, M.D.
• Lynsey Jean Howell-Thorndyke, LPC, NCC

• Intellectual and/or Developmental Disabilities Residential Treatment Facility in Longview, TX
• Providers in Longview, TX by specialty
• Intellectual and/or Developmental Disabilities Residential Treatment Facility in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 11, 2015; 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.