Organization Active NPI

Community Angels of Hope, LLC

  • Personal Care Attendant
  • Bossier City, LA
National Provider Identifier
1821141664
Registry record updated Sep 15, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Personal Care AttendantTaxonomy code 3747P1801X
Legal business name
COMMUNITY ANGELS OF HOPE, LLC
Practice address
2750 Shed Rd Ste D2
Bossier City, LA 71111-3386
Phone
(318) 746-4673
Fax
(318) 549-9003
NPI assigned
Jan 18, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 15, 2007

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

Authorized official

Name
Holly Johnson
Title
President
Phone
(318) 746-4673

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Personal Care AttendantGroup: 193400000X SINGLE SPECIALTY GROUP 3747P1801X Primary

Addresses

Primary practice location

2750 Shed Rd Ste D2
Bossier City, LA 71111-3386

Mailing address

2750 Shed Rd Ste D2
Bossier City, LA 71111-3386
Phone (318) 746-4673

Other identifiers 1

IdentifierTypeStateIssuer
1529931MedicaidLA

National Provider Directory

National Provider Directory
Tax ID family
Community Angels of Hope LLC7 organizations share this tax ID, including this one

Other organizations with this tax ID 6

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": "1169078400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1189814400000",
    "number": "1821141664",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2750 SHED RD STE D2",
            "city": "BOSSIER CITY",
            "state": "LA",
            "postal_code": "711113386",
            "telephone_number": "318-746-4673",
            "fax_number": "318-549-9003"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2750 SHED RD STE D2",
            "city": "BOSSIER CITY",
            "state": "LA",
            "postal_code": "711113386",
            "telephone_number": "318-746-4673",
            "fax_number": "318-549-9003"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMMUNITY ANGELS OF HOPE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-18",
        "last_updated": "2007-09-15",
        "status": "A",
        "authorized_official_last_name": "JOHNSON",
        "authorized_official_first_name": "HOLLY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "318-746-4673"
    },
    "taxonomies": [
        {
            "code": "3747P1801X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Technician, Personal Care Attendant",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1529931",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bossier City, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 15, 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.