Angelic Care and Wellness Home Healthcare LLC

Primary specialty

Developmentally Disabled Services Day Training AgencyTaxonomy code 251C00000X

Legal business name

ANGELIC CARE AND WELLNESS HOME HEALTHCARE LLC

Practice address

3006 N Lindbergh Blvd Ste 710
Saint Ann, MO 63074-3242

Phone

(314) 445-9164

NPI assigned

Apr 3, 2024

Last updated

Apr 3, 2024By 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

Angela Davis Bradford

Title

Owner

Phone

(314) 445-9164

Specialties & licenses 2

Addresses

Locations

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

{
    "created_epoch": "1712102400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1712102400000",
    "number": "1871345801",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3006 N LINDBERGH BLVD STE 710",
            "city": "SAINT ANN",
            "state": "MO",
            "postal_code": "630743242",
            "telephone_number": "314-445-9164"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3006 N LINDBERGH BLVD STE 710",
            "city": "SAINT ANN",
            "state": "MO",
            "postal_code": "630743242",
            "telephone_number": "314-445-9164"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ANGELIC CARE AND WELLNESS HOME HEALTHCARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-04-03",
        "last_updated": "2024-04-03",
        "certification_date": "2024-04-03",
        "status": "A",
        "authorized_official_last_name": "DAVIS BRADFORD",
        "authorized_official_first_name": "ANGELA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "314-445-9164"
    },
    "taxonomies": [
        {
            "code": "251C00000X",
            "taxonomy_group": "",
            "desc": "Day Training, Developmentally Disabled Services",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 3, 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.