Organization Active NPI

Angels Direct in Home Health Care CDS LLC

  • In Home Supportive Care Agency
  • Florissant, MO
National Provider Identifier
1841538568
Registry record updated Jan 31, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
License
B00488329 Issued in MO
Legal business name
ANGELS DIRECT IN HOME HEALTH CARE CDS LLC
Practice address
4009 7 Hills Dr
Florissant, MO 63033-6737
Phone
(314) 598-7164
Fax
(314) 289-9456
NPI assigned
Jan 31, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 31, 2013

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

Authorized official

Name
Ms. Arianna Lashon Roberts
Title
Executive Director
Phone
(314) 598-7164

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
In Home Supportive Care Agency 253Z00000X B00488329 MO Primary

Addresses

Primary practice location

4009 7 Hills Dr
Florissant, MO 63033-6737

Mailing address

4009 7 Hills Dr
Florissant, MO 63033-6737
Phone (314) 598-7164

National Provider Directory

National Provider Directory

Locations

4009 7 Hills Dr
Florissant, MO 63033
Phone (314) 598-7164

NPI Registry JSON

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

{
    "created_epoch": "1359590400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1359590400000",
    "number": "1841538568",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4009 7 HILLS DR",
            "city": "FLORISSANT",
            "state": "MO",
            "postal_code": "630336737",
            "telephone_number": "314-598-7164",
            "fax_number": "314-289-9456"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4009 7 HILLS DR",
            "city": "FLORISSANT",
            "state": "MO",
            "postal_code": "630336737",
            "telephone_number": "314-598-7164",
            "fax_number": "314-289-9456"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ANGELS DIRECT IN HOME HEALTH CARE CDS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-01-31",
        "last_updated": "2013-01-31",
        "status": "A",
        "authorized_official_last_name": "ROBERTS",
        "authorized_official_first_name": "ARIANNA",
        "authorized_official_middle_name": "LASHON",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "314-598-7164",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": "MO",
            "license": "B00488329",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Florissant, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 31, 2013; 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.