Organization Active NPI

Angels Hearts Home Care Lla

  • In Home Supportive Care Agency
  • Lafayette, LA
National Provider Identifier
1962773358
Registry record updated Apr 12, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
License
2203781022 Issued in LA
Legal business name
ANGELS HEARTS HOME CARE LLA
Practice address
401 Audubon Blvd
Ste 204B
Lafayette, LA 70503-2676
Phone
(877) 369-7002
NPI assigned
Jan 18, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 12, 2012

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

Authorized official

Name
Ms. Nicole Oliver Tunson
Title
Owner
Phone
(877) 369-7002

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
In Home Supportive Care Agency 253Z00000X 2203781022 LA Primary

Addresses

Primary practice location

401 Audubon Blvd
Ste 204B
Lafayette, LA 70503-2676

Mailing address

401 Audubon Blvd
Ste 204B
Lafayette, LA 70503-2676

Other identifiers 1

IdentifierTypeStateIssuer
2175068MedicaidLA

National Provider Directory

National Provider Directory
Tax ID family
Angels Hearts Home Care7 organizations share this tax ID, including this one

Other organizations with this tax ID 6

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": "1326844800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1334188800000",
    "number": "1962773358",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "401 AUDUBON BLVD",
            "address_2": "STE 204B",
            "city": "LAFAYETTE",
            "state": "LA",
            "postal_code": "705032676"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "401 AUDUBON BLVD",
            "address_2": "STE 204B",
            "city": "LAFAYETTE",
            "state": "LA",
            "postal_code": "705032676",
            "telephone_number": "877-369-7002"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ANGELS HEARTS HOME CARE LLA",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-01-18",
        "last_updated": "2012-04-12",
        "status": "A",
        "authorized_official_last_name": "TUNSON",
        "authorized_official_first_name": "NICOLE",
        "authorized_official_middle_name": "OLIVER",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "877-369-7002",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": "LA",
            "license": "2203781022",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2175068",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lafayette, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 12, 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.