Fragile Wings Angels in Waiting

Primary specialty

Intellectual and/or Developmental Disabilities Residential Treatment FacilityTaxonomy code 320600000X

Legal business name

FRAGILE WINGS ANGELS IN WAITING

Practice address

4725 Ike Frank Rd
Santa Fe, TX 77517-2751

Phone

(409) 457-5276

NPI assigned

Dec 26, 2006

Organization subpart

No

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

Authorized official

Name

Mrs. Kathy A. McGuire

Title

Ceo

Phone

(409) 925-4611

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1167091200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1992860340",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4725 IKE FRANK RD",
            "city": "SANTA FE",
            "state": "TX",
            "postal_code": "775172751",
            "telephone_number": "409-457-5276"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4725 IKE FRANK RD",
            "city": "SANTA FE",
            "state": "TX",
            "postal_code": "775172751",
            "telephone_number": "409-457-5276"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FRAGILE WINGS ANGELS IN WAITING",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-26",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MCGUIRE",
        "authorized_official_first_name": "KATHY",
        "authorized_official_middle_name": "A.",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "409-925-4611",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "320600000X",
            "taxonomy_group": "",
            "desc": "Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Madisen Devries
• Epoch Pharmacy Solutions Sante Fe Medicine Man Pharmacy (Medicine Man Pharmacy)
• Robin Ertell, LVN
• Crystal Dawn Fewox, FNP-C
• Dwayne Michael Fontenot, D.D.S.
• Mercedes Gable
• Kristin Boyd Garr
• Amy Harlow, LPC ASSOCIATE
• Healthy Lessons
• Kathleen M Heslin

• Intellectual and/or Developmental Disabilities Residential Treatment Facility in Santa Fe, TX
• Providers in Santa Fe, TX by specialty
• Intellectual and/or Developmental Disabilities Residential Treatment Facility in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 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.