Angel Private Duty Nursing Services LLC

Primary specialty

Nursing Care AgencyTaxonomy code 251J00000X

Legal business name

ANGEL PRIVATE DUTY NURSING SERVICES LLC

Practice address

200 Glassco St
Cleveland, MS 38732-4434

Phone

(662) 843-3785

Fax

(662) 843-3401

NPI assigned

Apr 22, 2014

Last updated

Apr 22, 2014By 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

Mrs. Nora PeguesNPI 1972202596

Title

Administrator

Phone

(662) 843-3785

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Nora Pegues

  • Adult Day Care Clinic/Center
  • Cleveland, MS
  • NPI 1972202596
  Authorized official Same address or phone

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

{
    "created_epoch": "1398124800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1398124800000",
    "number": "1902226533",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 GLASSCO ST",
            "address_2": "P.O. BOX 1681",
            "city": "CLEVELAND",
            "state": "MS",
            "postal_code": "387324434",
            "telephone_number": "662-843-3785",
            "fax_number": "662-843-3401"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 GLASSCO ST",
            "city": "CLEVELAND",
            "state": "MS",
            "postal_code": "387324434",
            "telephone_number": "662-843-3785",
            "fax_number": "662-843-3401"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ANGEL PRIVATE DUTY NURSING SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-04-22",
        "last_updated": "2014-04-22",
        "status": "A",
        "authorized_official_last_name": "PEGUES",
        "authorized_official_first_name": "NORA",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "662-843-3785",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "251J00000X",
            "taxonomy_group": "",
            "desc": "Nursing Care",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Shauna Danielle Allen, FNP-C
• Edwin Walter Amelung Jr.
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• Angel Homemaker Services, LLC
• Dianne Arnold, M.ED., L.P.C., N.C.C
• Maghan Ashmore, FNP-BC
• Avritt Medica Equipment, Inc.
• Avritt Medical Equipment, Inc.
• Jackie Barnes, NP

• Nursing Care Agency in Cleveland, MS
• Providers in Cleveland, MS by specialty
• Nursing Care Agency in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 22, 2014; 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.