HEAVENLY ANGELS LLC NPI 1700367174

NPI Information

NPI: 1700367174
Provider Name: HEAVENLY ANGELS LLC
Classification: Nursing Facility/Intermediate Care Facility - 313M00000X
Entity Type: Organization
CLIA Number: 25D2234002
Address: 1333 E BROAD ST
WEST POINT, MS
ZIP 39773
Phone: (662) 295-3257

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NPI Details

HEAVENLY ANGELS LLC is a nursing facility intermediate care facility in West Point, MS. The provider is an institution (or a distinct part of an institution) which- (1) is primarily engaged in providing to residents- (A) skilled nursing care and related services for residents who require medical or nursing care, (B) rehabilitation services for the rehabilitation of injured, disabled, or sick persons, or, on a regular basis, health-related care and services to individuals who because of their mental or physical condition require care and services (above the level of room and board) which can be made available to them only through institutional facilities, and is not primarily for the care and treatment of mental diseases; (2) has in effect a transfer agreement with one or more hospitals. HEAVENLY ANGELS LLC NPI is 1700367174. The provider is registered as an organization entity type.

The provider's business location address is:

1333 E BROAD ST
WEST POINT, MS
ZIP 39773-180
Phone: (662) 295-3257

The provider's authorized official is Angela Rice .
The authorized official title is Executive Director and has the following contact phone number (662) 295-3257.

The CLIA number assigned to this NPI record is 25D2234002 - assisted living facility with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 8/23/2018 and was last updated on 10/11/2022.

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	251E00000X	Home Health		No
2	253Z00000X	In Home Supportive Care		No
3	310400000X	Assisted Living Facility		No
4	3104A0625X	Assisted Living Facility	Assisted Living, Mental Illness	No
5	320600000X	Residential Treatment Facility, Intellectual and/or Developmental Disabilities		No
6	320800000X	Community Based Residential Treatment Facility, Mental Illness		No
7	385H00000X	Respite Care		No
8	251C00000X	Day Training, Developmentally Disabled Services		No
9	313M00000X	Nursing Facility/Intermediate Care Facility		Yes

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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