Organization Active NPI

Angels of Mercy Home Health Care Inc

  • Home Health Agency
  • Pineville, LA
National Provider Identifier
1891898375
Registry record updated Nov 8, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
ANGELS OF MERCY HOME HEALTH CARE INC
Practice address
2217 Shreveport Hwy
Suite B
Pineville, LA 71360
Phone
(318) 442-6435
Fax
(318) 442-7839
NPI assigned
Sep 7, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 8, 2011

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

Authorized official

Name
Ms. Carolyn Jean Desselles, RN
Title
Administrator
Phone
(318) 442-6435

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary

Addresses

Primary practice location

2217 Shreveport Hwy
Suite B
Pineville, LA 71360

Mailing address

2217 Shreveport Hwy
Suite B
Pineville, LA 71360
Phone (318) 442-6435

Other identifiers 1

IdentifierTypeStateIssuer
1403369MedicaidLA

National Provider Directory

National Provider Directory

Locations

3130 Jackson St
Alexandria, LA 71301
Phone (318) 442-6435

2217 Shreveport Hwy
Ste B
Pineville, LA 71360
Phone (225) 221-9216

NPI Registry JSON

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

{
    "created_epoch": "1157587200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1320710400000",
    "number": "1891898375",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2217 SHREVEPORT HWY",
            "address_2": "SUITE B",
            "city": "PINEVILLE",
            "state": "LA",
            "postal_code": "71360",
            "telephone_number": "318-442-6435",
            "fax_number": "318-442-7839"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2217 SHREVEPORT HWY",
            "address_2": "SUITE B",
            "city": "PINEVILLE",
            "state": "LA",
            "postal_code": "71360",
            "telephone_number": "318-442-6435",
            "fax_number": "318-442-7839"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ANGELS OF MERCY HOME HEALTH CARE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-07",
        "last_updated": "2011-11-08",
        "status": "A",
        "authorized_official_last_name": "DESSELLES",
        "authorized_official_first_name": "CAROLYN",
        "authorized_official_middle_name": "JEAN",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "318-442-6435",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1403369",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Pineville, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 8, 2011; 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.