Organization Active NPI

Angelcity Corporation

  • Physical Therapy Clinic/Center
  • Memphis, TN
National Provider Identifier
1770784688
Registry record updated Jul 18, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
License
5188562 Issued in TN
Legal business name
ANGELCITY CORPORATION
Practice address
3385 Airways Blvd
Suite 119
Memphis, TN 38116-3841
Phone
(901) 395-0199
NPI assigned
May 29, 2007
Last updated
Jul 18, 2007By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 18, 2007

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

Authorized official

Name
Mr. Ralph E Monroe, NONE
Title
President & Ceo
Phone
(901) 395-0199

Specialties & licenses 8

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Clinic/Center 261QP2000X 5188562 TN Primary
Assisted Living Facility 310400000X 5188562 TN
Assisted Living Facility (Mental Illness) 3104A0625X 5188562 TN
Assisted Living Facility (Behavioral Disturbances) 3104A0630X 5188562 TN
Alzheimer Center (Dementia Center) 311500000X 5188562 TN
Custodial Care Facility 311Z00000X 1770784688 TN
Nursing Facility/Intermediate Care Facility 313M00000X 5188562 TN
Physical Disabilities Residential Treatment Facility 320700000X 5188562 TN

Addresses

Primary practice location

3385 Airways Blvd
Suite 119
Memphis, TN 38116-3841

Mailing address

3385 Airways Blvd
Suite 119
Memphis, TN 38116-3841
Phone (901) 395-0199

National Provider Directory

National Provider Directory

Locations

3385 Airways Blvd
Ste 119
Memphis, TN 38116
Phone (901) 395-0199

NPI Registry JSON

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

{
    "created_epoch": "1180396800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1184716800000",
    "number": "1770784688",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3385 AIRWAYS BLVD",
            "address_2": "SUITE 119",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381163841",
            "telephone_number": "901-395-0199"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3385 AIRWAYS BLVD",
            "address_2": "SUITE 119",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381163841",
            "telephone_number": "901-395-0199"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ANGELCITY CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-29",
        "last_updated": "2007-07-18",
        "status": "A",
        "authorized_official_last_name": "MONROE",
        "authorized_official_first_name": "RALPH",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "PRESIDENT & CEO",
        "authorized_official_telephone_number": "901-395-0199",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "NONE"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "TN",
            "license": "5188562",
            "primary": true
        },
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "TN",
            "license": "5188562",
            "primary": false
        },
        {
            "code": "3104A0625X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility, Assisted Living, Mental Illness",
            "state": "TN",
            "license": "5188562",
            "primary": false
        },
        {
            "code": "3104A0630X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility, Assisted Living, Behavioral Disturbances",
            "state": "TN",
            "license": "5188562",
            "primary": false
        },
        {
            "code": "311500000X",
            "taxonomy_group": "",
            "desc": "Alzheimer Center (Dementia Center)",
            "state": "TN",
            "license": "5188562",
            "primary": false
        },
        {
            "code": "311Z00000X",
            "taxonomy_group": "",
            "desc": "Custodial Care Facility",
            "state": "TN",
            "license": "1770784688",
            "primary": false
        },
        {
            "code": "313M00000X",
            "taxonomy_group": "",
            "desc": "Nursing Facility/Intermediate Care Facility",
            "state": "TN",
            "license": "5188562",
            "primary": false
        },
        {
            "code": "320700000X",
            "taxonomy_group": "",
            "desc": "Residential Treatment Facility, Physical Disabilities",
            "state": "TN",
            "license": "5188562",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Memphis, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 18, 2007; 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.