Active NPI
Balanced Angels of Mississippi LLC
- Home Health Agency
- Meridian, MS
National Provider Identifier
1821983560
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Agency
- Legal business name
- BALANCED ANGELS OF MISSISSIPPI LLC
- Practice address
- 11644 Old Highway 80 W
Meridian, MS 39307-9722 - Phone
- (833) 221-4169
- NPI assigned
- Jun 11, 2025
- Last updated
- Jun 11, 2025
- 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
- Shelly Cook, MD
- Title
- President
- Phone
- (833) 221-4169
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Agency | 251E00000X | NU | Primary |
Addresses
Primary practice location
11644 Old Highway 80 W
Meridian, MS 39307-9722
Mailing address
11644 Old Highway 80 W
Meridian, MS 39307-9722
Phone (833) 221-4169
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Nurse's Aide
- Meridian, MS
- NPI 1407741804
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1749600000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1749600000000",
"number": "1821983560",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11644 OLD HIGHWAY 80 W",
"city": "MERIDIAN",
"state": "MS",
"postal_code": "393079722",
"telephone_number": "833-221-4169"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11644 OLD HIGHWAY 80 W",
"city": "MERIDIAN",
"state": "MS",
"postal_code": "393079722",
"telephone_number": "833-221-4169"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "BALANCED ANGELS OF MISSISSIPPI LLC",
"organizational_subpart": "NO",
"enumeration_date": "2025-06-11",
"last_updated": "2025-06-11",
"certification_date": "2025-06-11",
"status": "A",
"authorized_official_last_name": "COOK",
"authorized_official_first_name": "SHELLY",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "833-221-4169",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "251E00000X",
"taxonomy_group": "",
"desc": "Home Health",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Meridian, MS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.