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ANGELS BY THE WINGS HOME CARE LLC NPI 1548764269


NPI Information

NPI: 1548764269
Provider Name: ANGELS BY THE WINGS HOME CARE LLC
Classification: In Home Supportive Care - 253Z00000X
Entity Type: Organization
Address:
5227 GRAVOIS AVE 1ST FLOOR
ST LOUIS, MO
ZIP 63116
Phone: (314) 553-9306
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ANGELS BY THE WINGS HOME CARE LLC is an in home supportive care in St Louis, MO. The provider is an In Home Supportive Care Agency provides services in the patient's home with the goal of enabling the patient to remain at home. The services provided may include personal care services such as hands-on assistance with activities of daily living (ADLs), e.g., eating, bathing, dressing, and bladder and bowel requirements; homemaker services and instrumental activities of daily living (IADLs), e.g., taking medications, shopping for groceries, laundry, housekeeping, and companionship; and/or supervision or cuing so that a person can perform tasks themselves. ANGELS BY THE WINGS HOME CARE LLC NPI is 1548764269. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

5227 GRAVOIS AVE 1ST FLOOR
ST LOUIS, MO
ZIP 63116
Phone: (314) 553-9306
Fax: (314) 553-9307

The provider's authorized official is Lavonda Cooper .
The authorized official title is Owner and has the following contact phone number (314) 553-9306.

The enumeration date for this NPI number is 3/19/2018 and was last updated on 7/28/2023.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1372500000XChore ProviderNo
2253Z00000XIn Home Supportive CareYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
12222004MEDICAIDMISSOURI

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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