Active NPI
Amazing Angels CDS
- Home Health Agency
- Bridgeton, MO
National Provider Identifier
1942836044
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Agency
- Legal business name
- AMAZING ANGELS CDS
- Practice address
- 3159 Fee Fee Rd Ste 215
Bridgeton, MO 63044-3299 - Phone
- (314) 699-4940
- Fax
- (314) 528-5294
- NPI assigned
- Mar 20, 2020
- Last updated
- Mar 20, 2020
- 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
- Ms. Bethany Partee
- Title
- Ceo/Vendor
- Phone
- (314) 662-0320
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Agency | 251E00000X | NU | Primary |
Addresses
Primary practice location
3159 Fee Fee Rd Ste 215
Bridgeton, MO 63044-3299
Mailing address
3159 Fee Fee Rd Ste 215
Bridgeton, MO 63044-3299
Phone (314) 699-4940
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| T1019 | Medicaid | MO |
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1584662400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1584662400000",
"number": "1942836044",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3159 FEE FEE RD STE 215",
"city": "BRIDGETON",
"state": "MO",
"postal_code": "630443299",
"telephone_number": "314-699-4940",
"fax_number": "314-528-5294"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3159 FEE FEE RD STE 215",
"city": "BRIDGETON",
"state": "MO",
"postal_code": "630443299",
"telephone_number": "314-699-4940",
"fax_number": "314-528-5294"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "AMAZING ANGELS CDS",
"organizational_subpart": "NO",
"enumeration_date": "2020-03-20",
"last_updated": "2020-03-20",
"certification_date": "2020-03-20",
"status": "A",
"authorized_official_last_name": "PARTEE",
"authorized_official_first_name": "BETHANY",
"authorized_official_title_or_position": "CEO/VENDOR",
"authorized_official_telephone_number": "314-662-0320",
"authorized_official_name_prefix": "Ms."
},
"taxonomies": [
{
"code": "251E00000X",
"taxonomy_group": "",
"desc": "Home Health",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "T1019",
"state": "MO"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Bridgeton, MO
- Alexander's Professional Solutions, LLC
- Lana Allas, RPH
- Katrina Darchell Allen, LPC
- Amer Alshekhlee, MD
- Raghd Jihad Alyatim, PA-C
- Amazing Angels Consumer Directed Services, LLC (Amazing Angels CDS)
- Amazing Angels in Home Health Care, LLC
- Amazing Grace Assisted Living Services LLC
- Amazing Grace Assisted Living Services LLC
- Amazing Grace Home Health LLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 20, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.