Organization Active NPI

Amazing Angels CDS

  • Home Health Agency
  • Bridgeton, MO
National Provider Identifier
1942836044
Registry record updated Mar 20, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
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, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 20, 2020

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
T1019MedicaidMO

National Provider Directory

National Provider Directory

NPI 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

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.

Verify at the official NPI Registry.