ANGELCITY CORPORATION (NPI# 1770784688) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1770784688 |
| Entity Type | Organization |
| Organization Name | ANGELCITY CORPORATION |
| Practice Address |
3385 Airways Blvd Suite 119 Memphis TN 38116-3841 |
| Practice Telephone | 9013950199 |
| Mailing Telephone | 9013950199 |
| Enumeration Date | 2007-05-29 |
| Last Update Date | 2007-07-18 |
| Authorized Official Name | MR. RALPH E MONROE (PRESIDENT & CEO) |
| Authorized Official Telephone | 9013950199 |
| Authorized Official Credential | NONE |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 310400000X | Assisted Living Facility | 5188562 | TN | Nursing & Custodial Care Facilities |
| N | 3104A0625X |
Assisted Living Facility Specialization: Assisted Living, Mental Illness |
5188562 | TN | Nursing & Custodial Care Facilities |
| N | 320700000X | Residential Treatment Facility, Physical Disabilities | 5188562 | TN | Residential Treatment Facilities |
| N | 3104A0630X |
Assisted Living Facility Specialization: Assisted Living, Behavioral Disturbances |
5188562 | TN | Nursing & Custodial Care Facilities |
| N | 313M00000X | Nursing Facility/Intermediate Care Facility | 5188562 | TN | Nursing & Custodial Care Facilities |
| N | 311500000X | Alzheimer Center (Dementia Center) | 5188562 | TN | Nursing & Custodial Care Facilities |
| N | 311Z00000X | Custodial Care Facility | 1770784688 | TN | Nursing & Custodial Care Facilities |
| Y | 261QP2000X |
Clinic/Center Specialization: Physical Therapy |
5188562 | TN | Ambulatory Health Care Facilities |
| Street Address |
3385 AIRWAYS BLVD SUITE 119 |
| City | MEMPHIS |
| State | TN |
| Zip Code | 38116-3841 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639444516 | Kandice K Robinson | Social Worker | 3385 Airways Blvd, Suite 216, Memphis, TN 38116-3841 | 2012-03-12 |
| 1164743217 | Kerleska Conerly | Social Worker | 3385 Airways Blvd, 216, Memphis, TN 38116-3841 | 2010-06-11 |
| 1346569761 | Levi Robinson Jr. | Counselor | 3385 Airways Blvd, Memphis, TN 38116-3841 | 2010-05-25 |
| 1134448582 | Rodney Millan Bridges | Counselor | 3385 Airways Blvd, Suite 216, Memphis, TN 38116-3841 | 2010-05-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386265296 | Heart To Home Healthcare Services Inc | In Home Supportive Care | 3385 Airways Boulevard, Suite 233, Memphis, TN 38116 | 2020-05-01 |
| 1912526088 | Sanitas Medical Center of Tennessee PC | Family Medicine | 1200 E Raines Rd, Suite 101, Memphis, TN 38116 | 2020-04-09 |
| 1548896715 | Annie M Griffin | In Home Supportive Care | 1014 Cullenwood Drive, Memphis, TN 38116 | 2020-03-19 |
| 1144865700 | Johnnie Mary Lawson | Technician | 5152 Schutt Rd, Memphis, TN 38116 | 2019-11-07 |
| 1013475193 | Peace of Mind Adult Daycare Services, LLC | Clinic/Center | 4283 Millbranch Rd, Memphis, TN 38116 | 2019-03-07 |
| 1023580909 | April Nicole Mallory | Home Health Aide | 3225 Kirby Whitten Space 12, Suite 201, Memphis, TN 38116 | 2018-12-17 |
| 1437641941 | Trinity Community Coalition Outreach | Clinic/Center | 4466 Elvis Presley Blvd Ste 260, Memphis, TN 38116 | 2018-05-31 |
| 1851848386 | Veronica Hudson | Speech-Language Pathologist | 1036 Chambliss Rd, Memphis, TN 38116 | 2016-09-01 |
| 1710434378 | Chloe Bunch | Speech-Language Pathologist | 1076 Chamblee Road, Memphis, TN 38116 | 2016-09-01 |
| 1033516109 | Comprehensive Pediatrics | Pediatrics | 4250 Faronia Road, Suite 3, Memphis, TN 38116 | 2014-12-04 |
| Find all providers in zip 38116 | ||||
| Taxonomy Code | 261QP2000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Physical Therapy |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235754888 | Robert Hutchens | Clinic/Center | 871 Ridgeway Loop Rd Ste 100, Memphis, TN 38120-4026 | 2020-06-09 |
| 1427429307 | Making Motion Work for You LLC | Clinic/Center | 2473 Crescent Glen Cir, #210, Memphis, TN 38133-8020 | 2015-10-17 |
| 1255759908 | Agilitas Usa, Inc | Clinic/Center | 1680 Union Ave Ste 106, Memphis, TN 38104-3768 | 2014-03-31 |
| 1992147839 | Matrix Rehab | Clinic/Center | 1336 E Crestwood Dr, Memphis, TN 38119-5021 | 2013-07-19 |
| 1881968311 | Kirby Physiotherapy | Clinic/Center | 3558 Kirby Pkwy, Memphis, TN 38115-4243 | 2012-03-01 |
| 1376848713 | Omega Rehabilitation Group, Inc | Clinic/Center | 4202 Hacks Cross Rd, Suite: 114, Memphis, TN 38125-3757 | 2011-01-16 |
| 1659543635 | Tlc Medical & Physical Therapy Clinic,llc | Clinic/Center | 3624 Austin Peay Hwy Ste 1, Memphis, TN 38128-3771 | 2008-03-30 |
| 1174707012 | Total Care Physical Therapy PC | Clinic/Center | 5575 Poplar Avenue, Suite 321, Memphis, TN 38119 | 2007-12-27 |
| 1366583536 | Therapy Centers of The Southwest I, P.a. | Clinic/Center | 4900 Outland Center Dr, Suite 1002, Memphis, TN 38118-6572 | 2007-02-09 |
| 1982655072 | Quality Therapy Services Inc | Clinic/Center | 5865 Ridgeway Center Pkwy, Suite 300, Memphis, TN 38120-4032 | 2006-05-13 |
| Find all providers in MEMPHIS | ||||
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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.