Organization Active NPI

Angel Hearts LLC

  • Home Health Agency
  • Gulfport, MS
National Provider Identifier
1730512864
Registry record updated Aug 13, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
ANGEL HEARTS LLC
Practice address
15215 Oberlin Ave
Gulfport, MS 39503-4397
Phone
(228) 237-4211
NPI assigned
Aug 13, 2013
Last updated
Aug 13, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 13, 2013

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

Authorized official

Name
Mandy Marie Riley
Title
Owner
Phone
(228) 236-4211

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary

Addresses

Primary practice location

15215 Oberlin Ave
Gulfport, MS 39503-4397

Mailing address

15215 Oberlin Ave
Gulfport, MS 39503-4397
Phone (228) 237-4211

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1376352000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1376352000000",
    "number": "1730512864",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15215 OBERLIN AVE",
            "city": "GULFPORT",
            "state": "MS",
            "postal_code": "395034397",
            "telephone_number": "228-237-4211"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15215 OBERLIN AVE",
            "city": "GULFPORT",
            "state": "MS",
            "postal_code": "395034397",
            "telephone_number": "228-237-4211"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ANGEL HEARTS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-08-13",
        "last_updated": "2013-08-13",
        "status": "A",
        "authorized_official_last_name": "RILEY",
        "authorized_official_first_name": "MANDY",
        "authorized_official_middle_name": "MARIE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "228-236-4211"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Gulfport, MS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 13, 2013; 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.