Unforgettable Angle'S Home Healthcare, LLC

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Legal business name

UNFORGETTABLE ANGLE'S HOME HEALTHCARE, LLC

Practice address

1550 Summer Run Dr Unit 207
Florissant, MO 63033-6467

Phone

(314) 736-0246

Fax

(314) 436-6103

NPI assigned

Oct 19, 2023

Organization subpart

No

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

Authorized official

Name

Lavonda Harmon

Title

Executive Director

Phone

(314) 736-0246

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1697673600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1697673600000",
    "number": "1972385342",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1550 SUMMER RUN DR UNIT 207",
            "city": "FLORISSANT",
            "state": "MO",
            "postal_code": "630336467",
            "telephone_number": "314-736-0246"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1550 SUMMER RUN DR UNIT 207",
            "city": "FLORISSANT",
            "state": "MO",
            "postal_code": "630336467",
            "telephone_number": "314-736-0246",
            "fax_number": "314-436-6103"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1550 Summer Run Dr Unit 207",
            "address_purpose": "LOCATION",
            "city": "Florissant",
            "state": "MO",
            "postal_code": "630336467",
            "country_code": "US",
            "telephone_number": "314-736-0246",
            "fax_number": "314-436-6103",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "UNFORGETTABLE ANGLE'S HOME HEALTHCARE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-10-19",
        "last_updated": "2023-10-19",
        "certification_date": "2023-10-19",
        "status": "A",
        "authorized_official_last_name": "HARMON",
        "authorized_official_first_name": "LAVONDA",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "314-736-0246"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michael Ray Tyler
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• Home Health Agency in Florissant, MO
• Providers in Florissant, MO by specialty
• Home Health Agency in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 19, 2023; 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.