Active NPI
Mission Medstaff, LLC
- Nursing Care Agency
- Raleigh, NC
National Provider Identifier
1922462126
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nursing Care Agency
- License
- HC3352
- Legal business name
- MISSION MEDSTAFF, LLC
- Doing business as
- Angels of Care
- Practice address
- 3816 Bland Rd
Raleigh, NC 27609-6239 - Phone
- (919) 400-4099
- NPI assigned
- Apr 13, 2016
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Jessica Riggs
- Title
- Ceo
- Phone
- (903) 532-3187
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Agency | 251E00000X | |||
| Nursing Care Agency | 251J00000X | HC3352 | NC | Primary |
Addresses
Primary practice location
3816 Bland Rd
Raleigh, NC 27609-6239
Mailing address
7300 State Highway 121 Ste 250
McKinney, TX 75070-1991
Phone (210) 875-0853
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 7100649 | Medicaid | NC | |
| 3418800 | Medicaid | NC | |
| 6602032 | Medicaid | NC |
Other names 1
- Angels of Care
National Provider Directory
National Provider Directory- Tax ID family
- Mission Medstaff LLC
Other organizations with this tax ID 4
Organizations that report the same tax identification number in the National Provider Directory.
-
- Home Health Agency
- Kernersville, NC
- NPI 1154718278
-
- Nursing Care Agency
- Charlotte, NC
- NPI 1205163185
-
- In Home Supportive Care Agency
- Kernersville, NC
- NPI 1578034088
-
- In Home Supportive Care Agency
- Wilmington, NC
- NPI 1942771456
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1460505600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1724025600000",
"number": "1922462126",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7300 STATE HIGHWAY 121 STE 250",
"city": "MCKINNEY",
"state": "TX",
"postal_code": "750701991",
"telephone_number": "210-875-0853"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3816 BLAND RD",
"city": "RALEIGH",
"state": "NC",
"postal_code": "276096239",
"telephone_number": "919-400-4099"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MISSION MEDSTAFF, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2016-04-13",
"last_updated": "2024-08-19",
"certification_date": "2024-08-19",
"status": "A",
"authorized_official_last_name": "RIGGS",
"authorized_official_first_name": "JESSICA",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "903-532-3187"
},
"taxonomies": [
{
"code": "251E00000X",
"taxonomy_group": "",
"desc": "Home Health",
"state": null,
"license": null,
"primary": false
},
{
"code": "251J00000X",
"taxonomy_group": "",
"desc": "Nursing Care",
"state": "NC",
"license": "HC3352",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "7100649",
"state": "NC"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "3418800",
"state": "NC"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "6602032",
"state": "NC"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Angels of Care",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Raleigh, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 19, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.