NPIMap

Organization Active NPI

Anointed Angels Homecare, LLC

  • Personal Care Attendant
  • Houma, LA
National Provider Identifier
1871786962
Registry record updated Aug 22, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Personal Care AttendantTaxonomy code 3747P1801X
Legal business name
ANOINTED ANGELS HOMECARE, LLC
Practice address
405 Westside Blvd Ste 36
Houma, LA 70364-2396
Phone
(985) 853-8560
NPI assigned
Aug 22, 2007
Last updated
Aug 22, 2007By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2007

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

Authorized official

Name
Lashonda W Broom
Title
Program Director
Phone
(985) 853-8560

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Personal Care Attendant 3747P1801X NU Primary

Addresses

Primary practice location

405 Westside Blvd Ste 36
Houma, LA 70364-2396

Mailing address

405 Westside Blvd Ste 36
Houma, LA 70364-2396

Other identifiers 1

IdentifierTypeStateIssuer
1011339MedicaidLA

National Provider Directory

National Provider Directory
Tax ID family
Anointed Angels Homecare LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

NPI Registry JSON

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

{
    "created_epoch": "1187740800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1187740800000",
    "number": "1871786962",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "405 WESTSIDE BLVD STE 36",
            "city": "HOUMA",
            "state": "LA",
            "postal_code": "703642396"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "405 WESTSIDE BLVD STE 36",
            "city": "HOUMA",
            "state": "LA",
            "postal_code": "703642396",
            "telephone_number": "985-853-8560"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ANOINTED ANGELS HOMECARE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-08-22",
        "last_updated": "2007-08-22",
        "status": "A",
        "authorized_official_last_name": "BROOM",
        "authorized_official_first_name": "LASHONDA",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "PROGRAM DIRECTOR",
        "authorized_official_telephone_number": "985-853-8560"
    },
    "taxonomies": [
        {
            "code": "3747P1801X",
            "taxonomy_group": "",
            "desc": "Technician, Personal Care Attendant",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1011339",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Houma, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 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.