Angelic Services, LLC

Primary specialty

Developmentally Disabled Services Day Training AgencyTaxonomy code 251C00000X

License

9121 Issued in LA

Legal business name

ANGELIC SERVICES, LLC

Practice address

14046 Airline Hwy
Gonzales, LA 70737-6607

Phone

(225) 644-2326

Fax

(225) 647-4754

NPI assigned

Aug 16, 2007

Last updated

Aug 16, 2007By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mrs. Patricia Simon, R.N.

Title

Administrator

Phone

(225) 644-2326

Specialties & licenses 1

Addresses

Other identifiers 1

Tax ID family

Angelic Services LLC3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

• Angelic Personal Care Services, LLC

  • Home Health Agency
  • Gonzales, LA
  • NPI 1093910168
  NPD tax ID
• Angelic Services LLC

  • Developmentally Disabled Services Day Training Agency
  • Gonzales, LA
  • NPI 1578755138
  NPD tax ID

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

{
    "created_epoch": "1187222400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1187222400000",
    "number": "1841482403",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14046 AIRLINE HWY",
            "city": "GONZALES",
            "state": "LA",
            "postal_code": "707376607",
            "telephone_number": "225-644-2326",
            "fax_number": "225-647-4754"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14046 AIRLINE HWY",
            "city": "GONZALES",
            "state": "LA",
            "postal_code": "707376607",
            "telephone_number": "225-644-2326",
            "fax_number": "225-647-4754"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ANGELIC SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-08-16",
        "last_updated": "2007-08-16",
        "status": "A",
        "authorized_official_last_name": "SIMON",
        "authorized_official_first_name": "PATRICIA",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "225-644-2326",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "R.N."
    },
    "taxonomies": [
        {
            "code": "251C00000X",
            "taxonomy_group": "",
            "desc": "Day Training, Developmentally Disabled Services",
            "state": "LA",
            "license": "9121",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1126187",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• David D Anderson, DO
• Kyali Anderson
• Summer M Anderson, APRN
• Angelic Personal Care Services, LLC
• Angelic Services LLC
• Anointed Hands Trichology Center for Hair Loss LLC
• Beau Vincent Arceneaux, PT, DPT
• Shanna Armstrong, MS, CCC-SLP, L-SLP
• Emma Boudreaux Arnold, OT
• Staci Arnold

• Developmentally Disabled Services Day Training Agency in Gonzales, LA
• Providers in Gonzales, LA by specialty
• Developmentally Disabled Services Day Training Agency in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 16, 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.