NPIMap

Organization Active NPI

Guardian Angel Healthcare II, Inc.

Doing business as Patients' Choice Medical Center of Smith county

  • Medicare Defined Swing Bed Hospital Unit
  • Raleigh, MS
National Provider Identifier
1740833391
Registry record updated Jul 23, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medicare Defined Swing Bed Hospital UnitTaxonomy code 275N00000X
Legal business name
GUARDIAN ANGEL HEALTHCARE II, INC.
Doing business as
Patients' Choice Medical Center of Smith county
Practice address
347 Magnolia Dr
Raleigh, MS 39153-6011
Phone
(601) 782-9997
Fax
(601) 782-5655
NPI assigned
Jul 23, 2019
Last updated
Jul 23, 2019By the provider in NPPES
Organization subpart
Yes
Parent organization
GUARDIAN ANGEL HEALTHCARE II, INC.As reported in NPPES

NPPES NPI Registry

Updated by the provider on Jul 23, 2019

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

Authorized official

Name
Paulette Butler
Title
Administrator
Phone
(601) 782-9997

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medicare Defined Swing Bed Hospital Unit 275N00000X Primary

Addresses

Primary practice location

347 Magnolia Dr
Raleigh, MS 39153-6011

Mailing address

347 Magnolia Dr
Raleigh, MS 39153-6011
Phone (601) 782-9997

Other identifiers 1

IdentifierTypeStateIssuer
09156818MedicaidMS

Other names 1

  • Patients' Choice Medical Center of Smith county Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Guardian Angel Hlthcare Inc4 organizations share this tax ID, including this one
Part of
Guardian Angel Hlthcare Inc

Other organizations with this tax ID 3

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": "1563840000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1563840000000",
    "number": "1740833391",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "347 MAGNOLIA DR",
            "city": "RALEIGH",
            "state": "MS",
            "postal_code": "391536011",
            "telephone_number": "601-782-9997",
            "fax_number": "601-782-5655"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "347 MAGNOLIA DR",
            "city": "RALEIGH",
            "state": "MS",
            "postal_code": "391536011",
            "telephone_number": "601-782-9997",
            "fax_number": "601-782-5655"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GUARDIAN ANGEL HEALTHCARE II, INC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "GUARDIAN ANGEL HEALTHCARE II, INC.",
        "enumeration_date": "2019-07-23",
        "last_updated": "2019-07-23",
        "status": "A",
        "authorized_official_last_name": "BUTLER",
        "authorized_official_first_name": "PAULETTE",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "601-782-9997"
    },
    "taxonomies": [
        {
            "code": "275N00000X",
            "taxonomy_group": "",
            "desc": "Medicare Defined Swing Bed Unit",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "09156818",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Patients' Choice Medical Center of Smith county",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Raleigh, MS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 23, 2019; 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.