Organization Active NPI

Wings of an Angel

  • Home Health Agency
  • Saint Louis, MO
National Provider Identifier
1871069252
Registry record updated Apr 30, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
WINGS OF AN ANGEL
Practice address
6420 Mount Ave
Saint Louis, MO 63121-5717
Phone
(314) 458-9602
Fax
(314) 282-0158
NPI assigned
Oct 23, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 30, 2024

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

Authorized official

Name
Ms. Debra WiseNPI 1275000630
Title
Sole/Owner
Phone
(314) 282-0158

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary

Addresses

Primary practice location

6420 Mount Ave
Saint Louis, MO 63121-5717

Mailing address

6420 Mount Ave
St. Louis, MO 63121
Phone (314) 485-9602

Other practice location 1

6420 Mount Ave
St. Louis, MO 63121
Phone (314) 485-9602

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1540252800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1714435200000",
    "number": "1871069252",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6420 MOUNT AVE",
            "city": "ST. LOUIS",
            "state": "MO",
            "postal_code": "63121",
            "telephone_number": "314-485-9602",
            "fax_number": "314-282-0158"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6420 MOUNT AVE",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631215717",
            "telephone_number": "314-458-9602",
            "fax_number": "314-282-0158"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6420 Mount Ave",
            "address_purpose": "LOCATION",
            "city": "St. Louis",
            "state": "MO",
            "postal_code": "63121",
            "country_code": "US",
            "telephone_number": "314-485-9602",
            "fax_number": "314-282-0158",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "WINGS OF AN ANGEL",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-10-23",
        "last_updated": "2024-04-30",
        "status": "A",
        "authorized_official_last_name": "WISE",
        "authorized_official_first_name": "DEBRA",
        "authorized_official_title_or_position": "SOLE/OWNER",
        "authorized_official_telephone_number": "314-282-0158",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Louis, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 30, 2024; 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.