NPIMap

Organization Active NPI

Little Angels

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Idaho Falls, ID
National Provider Identifier
1942546510
Registry record updated Dec 29, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X
Legal business name
LITTLE ANGELS
Practice address
1420 E 17TH St
Suite C
Idaho Falls, ID 83404-6283
Phone
(208) 313-0711
NPI assigned
Dec 29, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 29, 2012

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mrs. Lisa Cruz, RN
Title
Owner
Phone
(208) 313-0711

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X Primary

Addresses

Primary practice location

1420 E 17TH St
Suite C
Idaho Falls, ID 83404-6283

Mailing address

1420 E 17TH St
Suite C
Idaho Falls, ID 83404-6283
Phone (208) 313-0711

National Provider Directory

National Provider Directory
Tax ID family
Little Angels4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

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": "1356739200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1356739200000",
    "number": "1942546510",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1420 E 17TH ST",
            "address_2": "SUITE C",
            "city": "IDAHO FALLS",
            "state": "ID",
            "postal_code": "834046283",
            "telephone_number": "208-313-0711"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1420 E 17TH ST",
            "address_2": "SUITE C",
            "city": "IDAHO FALLS",
            "state": "ID",
            "postal_code": "834046283",
            "telephone_number": "208-313-0711"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LITTLE ANGELS",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-12-29",
        "last_updated": "2012-12-29",
        "status": "A",
        "authorized_official_last_name": "CRUZ",
        "authorized_official_first_name": "LISA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "208-313-0711",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Idaho Falls, ID

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 29, 2012; 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.