Organization Active NPI

Angels Enterprise

  • Non-emergency Medical Transport (VAN)
  • Lansing, IL
National Provider Identifier
1891433280
Registry record updated May 25, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Non-emergency Medical Transport (VAN)Taxonomy code 343900000X
Legal business name
ANGELS ENTERPRISE
Practice address
17600 Maple St
Lansing, IL 60438-2007
Phone
(708) 574-2772
NPI assigned
May 25, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 25, 2022

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

Authorized official

Name
Shataundria Michelle Cotton
Title
Sole Member
Phone
(708) 574-2772

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Non-emergency Medical Transport (VAN) 343900000X Primary

Addresses

Primary practice location

17600 Maple St
Lansing, IL 60438-2007

Mailing address

17600 Maple St
Lansing, IL 60438-2007
Phone (708) 574-2772

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address info@angelsenterprise.net Direct

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1653436800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1653436800000",
    "number": "1891433280",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17600 MAPLE ST",
            "city": "LANSING",
            "state": "IL",
            "postal_code": "604382007",
            "telephone_number": "708-574-2772"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17600 MAPLE ST",
            "city": "LANSING",
            "state": "IL",
            "postal_code": "604382007",
            "telephone_number": "708-574-2772"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ANGELS ENTERPRISE",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-05-25",
        "last_updated": "2022-05-25",
        "certification_date": "2022-05-25",
        "status": "A",
        "authorized_official_last_name": "COTTON",
        "authorized_official_first_name": "SHATAUNDRIA",
        "authorized_official_middle_name": "MICHELLE",
        "authorized_official_title_or_position": "SOLE MEMBER",
        "authorized_official_telephone_number": "708-574-2772"
    },
    "taxonomies": [
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "info@angelsenterprise.net",
            "affiliation": "N",
            "endpointDescription": "Email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "17600 Maple St",
            "city": "Lansing",
            "state": "IL",
            "country_code": "US",
            "postal_code": "604382007",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Lansing, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 25, 2022; 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.