Cna Angels LLC

Primary specialty

In Home Supportive Care AgencyTaxonomy code 253Z00000X

Legal business name

CNA ANGELS LLC

Practice address

14377 Woodlake Dr Ste 104
Chesterfield, MO 63017-5735

Phone

(314) 628-1112

NPI assigned

Mar 19, 2024

Last updated

Mar 19, 2024By 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

Bryce Childress

Title

Ceo

Phone

(314) 346-1654

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1710806400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1710806400000",
    "number": "1922868819",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14377 WOODLAKE DR STE 104",
            "city": "CHESTERFIELD",
            "state": "MO",
            "postal_code": "630175735"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14377 WOODLAKE DR STE 104",
            "city": "CHESTERFIELD",
            "state": "MO",
            "postal_code": "630175735",
            "telephone_number": "314-628-1112"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CNA ANGELS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-03-19",
        "last_updated": "2024-03-19",
        "certification_date": "2024-03-19",
        "status": "A",
        "authorized_official_last_name": "CHILDRESS",
        "authorized_official_first_name": "BRYCE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "314-346-1654"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michael J Cleary, M.D.
• Allison Clemons, PHARM.D., BCPS, BCCP
• Brittney Clifton, BCBA
• Clinic of Internal Medicine, LLC
• Mindy Clodius
• Milton L Cobb, M.D.
• Caleb P Cockrum, CRNA
• Suzanne G Coffey, MA LPC
• John Michael Coggin, MAC, MDIV, LPC, NCC
• Sherry Lynn Coggin, MAC, LPC

• In Home Supportive Care Agency in Chesterfield, MO
• Providers in Chesterfield, MO by specialty
• In Home Supportive Care Agency in Missouri

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