ANGEL HOMEMAKER SERVICES, LLC (NPI# 1215076039) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1215076039 |
| Entity Type | Organization |
| Organization Name | ANGEL HOMEMAKER SERVICES, LLC |
| Practice Address |
200 Glassco St Cleveland MS 38732-4434 |
| Practice Telephone | 6628433785 |
| Practice Fax Number | 6628433401 |
| Mailing Telephone | 6628433785 |
| Mailing Fax Number | 6628433401 |
| Enumeration Date | 2007-02-06 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | MRS. NORA PEGUES (ADMINISTRATOR) |
| Authorized Official Telephone | 6628433785 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| X | 261QA0600X |
Clinic/Center Specialization: Adult Day Care |
Ambulatory Health Care Facilities | ||
| X | 376J00000X | Homemaker | Nursing Service Related Providers | ||
| X | 385H00000X | Respite Care | Respite Care Facility |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MS | 00770576 | 05 | |
| MS | 04632279 | 05 | |
| MS | 08458322 | 05 |
| Street Address |
200 GLASSCO ST |
| City | CLEVELAND |
| State | MS |
| Zip Code | 38732-4434 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902226533 | Angel Private Duty Nursing Services LLC | Nursing Care | 200 Glassco St, Cleveland, MS 38732-4434 | 2014-04-22 |
| 1972898542 | Angel Adult Center 11 | Clinic/Center | 200 Glassco St, Cleveland, MS 38732-4434 | 2011-06-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023629219 | Marilynn Pruitt | Technician | 108 Belvedere Court, Cleveland, MS 38732 | 2020-08-12 |
| 1417322587 | United Family Life Center | Clinic/Center | 1101 S Martin Luther King Drive, Cleveland, MS 38732 | 2015-12-01 |
| 1346661584 | Rebecca Winters | Speech-Language Pathologist | 4036 Hwy 8 East, Cleveland, MS 38732 | 2013-12-13 |
| 1982973186 | Delta Home Health Inc | Home Health | 300-b South Street, Cleveland, MS 38732 | 2011-12-19 |
| 1730467382 | Reid Farmer Davis Medico | Clinic/Center | 4080 Highway 8 West, Cleveland, MS 38732 | 2011-08-01 |
| 1700181427 | Sondra Speakes Huerta | Speech-Language Pathologist | 3939 Hwy 61 N. Suite 110, Cleveland, MS 38732 | 2011-01-12 |
| 1386956027 | Delta Soul Medical, LLC | Hospice Care, Community Based | 102 N. Pearman Ave., Ste. 1, Cleveland, MS 38732 | 2010-07-10 |
| 1700029675 | Jlrl, LLC | Dentist | 716 First Street, Cleveland, MS 38732 | 2009-04-08 |
| 1417194978 | Bolivar Emergency Group LLC | Physician Assistant | 901 Hwy 8 East Sunflower Rd, Cleveland, MS 38732 | 2009-01-20 |
| 1902055767 | Word of Deliverance Adult Day Care | Custodial Care Facility | 509 Davis Avenue, Cleveland, MS 38732 | 2008-09-16 |
| Find all providers in zip 38732 | ||||
| Taxonomy Code | 261QA0600X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Adult Day Care |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619324647 | Rita Tackett | Clinic/Center | 2340 Blue Springs Rd Se, Cleveland, TN 37311-0909 | 2016-05-19 |
| 1417322587 | United Family Life Center | Clinic/Center | 1101 S Martin Luther King Drive, Cleveland, MS 38732 | 2015-12-01 |
| 1639558588 | West Cleveland Adult Daycare | Clinic/Center | 1210 W Highway 8, Cleveland, MS 38732-2263 | 2015-05-26 |
| 1346596541 | Serenity Adult Day Care | Clinic/Center | 824 Cross St, 1000 Douglas St, Cleveland, MS 38732-3906 | 2012-07-25 |
| 1538331129 | North Street Adult Daycare | Clinic/Center | 222 North Street, Cleveland, MS 38732-2746 | 2008-03-24 |
| 1376727503 | Tender Loving Care | Clinic/Center | 714 1st Street, Cleveland, MS 38732 | 2007-12-24 |
| 1811179393 | Wakefield Adult Day Jcare Center | Clinic/Center | 314 S San Jacinto Ave, Cleveland, TX 77327-4848 | 2007-11-27 |
| 1184831778 | Adult Latchkey Inc | Clinic/Center | 13205 Chapelside Ave, Cleveland, OH 44120-4605 | 2007-05-16 |
| 1891824769 | Dobb Inc | Clinic/Center | 1030 East 62nd Street, Cleveland, OH 44103-1093 | 2007-03-05 |
| 1225096035 | Benjamin Rose Institute On Aging | Clinic/Center | 11890 Fairhill Rd, Cleveland, OH 44120-1053 | 2006-05-02 |
| Find all providers in CLEVELAND | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.