Organization Active NPI

Angelina Home and Community Support Services, Inc.

Doing business as Angelina Home Health

  • Home Health Agency
  • Lufkin, TX
National Provider Identifier
1841253002
Registry record updated Jan 18, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
ANGELINA HOME AND COMMUNITY SUPPORT SERVICES, INC.
Doing business as
Angelina Home Health
Practice address
4123 Ted Trout Dr
Lufkin, TX 75904-0353
Phone
(936) 634-6240
Fax
(936) 634-6247
NPI assigned
Apr 10, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 18, 2008

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

Authorized official

Name
Mr. J. David Boyd
Title
Ceo
Phone
(936) 634-6240

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary

Addresses

Primary practice location

4123 Ted Trout Dr
Lufkin, TX 75904-0353

Mailing address

4123 Ted Trout Dr
Lufkin, TX 75904-0353
Phone (936) 634-6240

Other names 1

  • Angelina Home Health Doing business as

National Provider Directory

National Provider Directory

Locations

4123 Ted Trout Dr
Lufkin, TX 75904
Phone (936) 634-6240

NPI Registry JSON

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

{
    "created_epoch": "1144627200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1200614400000",
    "number": "1841253002",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4123 TED TROUT DR",
            "city": "LUFKIN",
            "state": "TX",
            "postal_code": "759040353",
            "telephone_number": "936-634-6240",
            "fax_number": "936-634-6247"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4123 TED TROUT DR",
            "city": "LUFKIN",
            "state": "TX",
            "postal_code": "759040353",
            "telephone_number": "936-634-6240",
            "fax_number": "936-634-6247"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ANGELINA HOME AND COMMUNITY SUPPORT SERVICES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-04-10",
        "last_updated": "2008-01-18",
        "status": "A",
        "authorized_official_last_name": "BOYD",
        "authorized_official_first_name": "J.",
        "authorized_official_middle_name": "DAVID",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "936-634-6240",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Angelina Home Health",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Lufkin, TX

Sources for this page

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