Organization Active NPI

Heavenly Angels Durable Medical Supplies

  • Durable Medical Equipment & Medical Supplies
  • Bryan, TX
National Provider Identifier
1801073705
Registry record updated Oct 29, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
License
0089725 Issued in TX
Legal business name
HEAVENLY ANGELS DURABLE MEDICAL SUPPLIES
Practice address
1706 E 29TH St
Ste. 103
Bryan, TX 77802-1425
Phone
(979) 823-5200
NPI assigned
Jan 23, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 29, 2008

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

Authorized official

Name
Mrs. Angel Michelle Reed
Title
Owner
Phone
(979) 823-5200

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X 0089725 TX Primary

Addresses

Primary practice location

1706 E 29TH St
Ste. 103
Bryan, TX 77802-1425

Mailing address

1706 E 29TH St
Ste. 103
Bryan, TX 77802-1425
Phone (979) 823-5200

Other identifiers 1

IdentifierTypeStateIssuer
183214901MedicaidTX

National Provider Directory

National Provider Directory

Locations

1706 E 29th St
Ste 103
Bryan, TX 77802
Phone (979) 823-5200

NPI Registry JSON

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

{
    "created_epoch": "1201046400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1225238400000",
    "number": "1801073705",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1706 E 29TH ST",
            "address_2": "STE. 103",
            "city": "BRYAN",
            "state": "TX",
            "postal_code": "778021425",
            "telephone_number": "979-823-5200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1706 E 29TH ST",
            "address_2": "STE. 103",
            "city": "BRYAN",
            "state": "TX",
            "postal_code": "778021425",
            "telephone_number": "979-823-5200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEAVENLY ANGELS DURABLE MEDICAL SUPPLIES",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-01-23",
        "last_updated": "2008-10-29",
        "status": "A",
        "authorized_official_last_name": "REED",
        "authorized_official_first_name": "ANGEL",
        "authorized_official_middle_name": "MICHELLE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "979-823-5200",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "TX",
            "license": "0089725",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "183214901",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bryan, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 29, 2008; 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.