Active NPI
Angel Adult Center 11
- Adult Day Care Clinic/Center
- Cleveland, MS
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Day Care Clinic/Center
- Legal business name
- ANGEL ADULT CENTER 11
- Practice address
- 200 Glassco St
Cleveland, MS 38732-4434 - Phone
- (662) 843-3785
- Fax
- (662) 843-3401
- NPI assigned
- Jun 12, 2011
- Last updated
- Jun 12, 2011
- Organization subpart
- Yes
- Parent organization
- ANGEL HOMEMAKER SERVICES LLC
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Ms. Nora Pegues
- Title
- Administrator
- Phone
- (662) 843-3785
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Adult Day Care Clinic/Center | 261QA0600X | Primary |
Addresses
Primary practice location
200 Glassco St
Cleveland, MS 38732-4434
Mailing address
PO Box 1681
200 Glassco
Cleveland, MS 38732-1681
Phone (662) 843-3785
National Provider Directory
National Provider Directory- Part of
- Angel Homemaker Services LLC
Ownership & related parties
Parent organization (reported in NPPES) 1
This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.
-
- Adult Day Care Clinic/Center
- Cleveland, MS
- NPI 1215076039
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Adult Day Care Clinic/Center
- Cleveland, MS
- NPI 1972202596
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1307836800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1307836800000",
"number": "1972898542",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1681",
"address_2": "200 GLASSCO",
"city": "CLEVELAND",
"state": "MS",
"postal_code": "387321681",
"telephone_number": "662-843-3785",
"fax_number": "662-843-3401"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "200 GLASSCO ST",
"city": "CLEVELAND",
"state": "MS",
"postal_code": "387324434",
"telephone_number": "662-843-3785",
"fax_number": "662-843-3401"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ANGEL ADULT CENTER 11",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "ANGEL HOMEMAKER SERVICES LLC",
"enumeration_date": "2011-06-12",
"last_updated": "2011-06-12",
"status": "A",
"authorized_official_last_name": "PEGUES",
"authorized_official_first_name": "NORA",
"authorized_official_title_or_position": "ADMINISTRATOR",
"authorized_official_telephone_number": "662-843-3785",
"authorized_official_name_prefix": "Ms."
},
"taxonomies": [
{
"code": "261QA0600X",
"taxonomy_group": "",
"desc": "Clinic/Center, Adult Day Care",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Cleveland, MS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 12, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.