Organization Active NPI

Mission Medstaff, LLC

  • Nursing Care Agency
  • Raleigh, NC
National Provider Identifier
1922462126
Registry record updated Aug 19, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nursing Care AgencyTaxonomy code 251J00000X
License
HC3352 Issued in NC
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

Updated by the provider on Aug 19, 2024

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
7100649MedicaidNC
3418800MedicaidNC
6602032MedicaidNC

Other names 1

  • Angels of Care Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Mission Medstaff LLC5 organizations share this tax ID, including this one

Other organizations with this tax ID 4

Organizations that report the same tax identification number in the National Provider Directory.

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.

Verify at the official NPI Registry.