Angels Enterprise

Primary specialty

Early Intervention Provider AgencyTaxonomy code 252Y00000X

Legal business name

ANGELS ENTERPRISE

Practice address

14533 Jefferson St
Harvey, IL 60426-1813

Phone

(708) 548-8474

Fax

(815) 572-5803

NPI assigned

Mar 14, 2007

Last updated

Nov 18, 2008By 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

Shataundria Cotton

Title

Owner

Phone

(708) 548-8474

Specialties & licenses 3

Addresses

Tax ID family

Angels Enterprise2 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.

• Angels Enterprise

  • Early Intervention Provider Agency
  • Harvey, IL
  • NPI 1568699015
  NPD tax ID

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

{
    "created_epoch": "1173830400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1226966400000",
    "number": "1912030107",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 277998",
            "city": "RIVERDALE",
            "state": "IL",
            "postal_code": "608277998",
            "telephone_number": "708-548-8474",
            "fax_number": "815-572-5803"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14533 JEFFERSON ST",
            "city": "HARVEY",
            "state": "IL",
            "postal_code": "604261813",
            "telephone_number": "708-548-8474",
            "fax_number": "815-572-5803"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ANGELS ENTERPRISE",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-14",
        "last_updated": "2008-11-18",
        "status": "A",
        "authorized_official_last_name": "COTTON",
        "authorized_official_first_name": "SHATAUNDRIA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "708-548-8474"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "252Y00000X",
            "taxonomy_group": "",
            "desc": "Early Intervention Provider Agency",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• American Behavior Center
• Shanta D Amicks
• Pramod K Anand, MD
• Holden Andrade
• Angels Enterprise
• Willie Applewhite
• Arizona Radiology Imaging Consultants, PLLC
• Beryl Armstrong, LCPC
• Associated Laboratory Physicians SC
• Associated Medical Center SC (Harvey Medical Center)

• Early Intervention Provider Agency in Harvey, IL
• Providers in Harvey, IL by specialty
• Early Intervention Provider Agency in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 18, 2008; 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.