ANGEL HOMEMAKER SERVICES LLC NPI 1215076039

NPI Information

NPI: 1215076039
Provider Name: ANGEL HOMEMAKER SERVICES, LLC
Classification: Clinic/Center - 261QA0600X
Specialization: Adult Day Care
Entity Type: Organization
Address: 200 GLASSCO ST
CLEVELAND, MS
ZIP 38732
Phone: (662) 843-3785

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NPI Details

ANGEL HOMEMAKER SERVICES, LLC is an adult day care clinic center in Cleveland, MS. ANGEL HOMEMAKER SERVICES, LLC NPI is 1215076039. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

200 GLASSCO ST
CLEVELAND, MS
ZIP 38732-434
Phone: (662) 843-3785
Fax: (662) 843-3401

The provider's authorized official is Nora Pegues .
The authorized official title is Administrator and has the following contact phone number (662) 843-3785.

The enumeration date for this NPI number is 2/6/2007 and was last updated on 9/11/2025.

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 Code	Taxonomy Clasification	Taxonomy Specialization	Primary
1	376J00000X	Homemaker		No
2	385H00000X	Respite Care		No
3	261QA0600X	Clinic/Center	Adult Day Care	Yes

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 Identifier	Other Provider Identifier Type	Other Provider Identifier State
1	08458322	MEDICAID	MISSISSIPPI
2	00770576	MEDICAID	MISSISSIPPI
3	04632279	MEDICAID	MISSISSIPPI

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: 11/21/2025

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