Active NPI
Angelcity Corporation
- Physical Therapy Clinic/Center
- Memphis, TN
National Provider Identifier
1770784688
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapy Clinic/Center
- License
- 5188562
- 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, 2007
- Organization subpart
- No
NPPES NPI Registry
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 DirectoryLocations
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.