Organization Active NPI

Angels of Life, Inc.

Doing business as Angels of Life Home Care Services

  • In Home Supportive Care Agency
  • Kansas City, MO
National Provider Identifier
1740421056
Registry record updated Mar 16, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
License
171397 Issued in MO
Legal business name
ANGELS OF LIFE, INC.
Doing business as
Angels of Life Home Care Services
Practice address
11109 E 48TH Ter
Kansas City, MO 64133-2301
Phone
(816) 358-4348
Fax
(816) 358-4349
NPI assigned
Mar 16, 2009
Last updated
Mar 16, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 16, 2009

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

Authorized official

Name
Geguieffa Jebrawn Williams
Title
Presedent/Director
Phone
(816) 358-4348

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X 171397 MO
In Home Supportive Care Agency 253Z00000X 171397 MO Primary

Addresses

Primary practice location

11109 E 48TH Ter
Kansas City, MO 64133-2301

Mailing address

11109 E 48TH Ter
Kansas City, MO 64133-2301
Phone (816) 358-4348

Other names 1

  • Angels of Life Home Care Services Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1237161600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1237161600000",
    "number": "1740421056",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11109 E 48TH TER",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641332301",
            "telephone_number": "816-358-4348",
            "fax_number": "816-358-4349"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11109 E 48TH TER",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641332301",
            "telephone_number": "816-358-4348",
            "fax_number": "816-358-4349"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ANGELS OF LIFE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-03-16",
        "last_updated": "2009-03-16",
        "status": "A",
        "authorized_official_last_name": "WILLIAMS",
        "authorized_official_first_name": "GEGUIEFFA",
        "authorized_official_middle_name": "JEBRAWN",
        "authorized_official_title_or_position": "PRESEDENT/DIRECTOR",
        "authorized_official_telephone_number": "816-358-4348"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "MO",
            "license": "171397",
            "primary": false
        },
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": "MO",
            "license": "171397",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Angels of Life Home Care Services",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Kansas City, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 16, 2009; 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.