ANGELIC SERVICES, LLC (NPI# 1841482403) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1841482403 |
| Entity Type | Organization |
| Organization Name | ANGELIC SERVICES, LLC |
| Practice Address |
14046 Airline Hwy Gonzales LA 70737-6607 |
| Practice Telephone | 2256442326 |
| Practice Fax Number | 2256474754 |
| Mailing Telephone | 2256442326 |
| Mailing Fax Number | 2256474754 |
| Enumeration Date | 2007-08-16 |
| Last Update Date | 2007-08-16 |
| Authorized Official Name | MRS. PATRICIA SIMON (ADMINISTRATOR) |
| Authorized Official Telephone | 2256442326 |
| Authorized Official Credential | R.N. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251C00000X | Day Training, Developmentally Disabled Services | 9121 | LA | Agencies |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| LA | 1126187 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083018568 | Angelic Services, LLC | Clinic/Center | 206 W Meadow St, Gaffney, SC 29341-2350 | 2014-10-13 |
| Street Address |
14046 AIRLINE HWY |
| City | GONZALES |
| State | LA |
| Zip Code | 70737-6607 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578755138 | Angelic Services LLC | Day Training, Developmentally Disabled Services | 14046 Airline Hwy, Gonzales, LA 70737-6607 | 2007-08-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407461593 | Scott G Petrie Md Apmc | Non-Pharmacy Dispensing Site | 1014 West St Clare Boulevard, Ste 1020, Gonzales, LA 70737 | 2020-09-15 |
| 1407461981 | Bryant Louis Bourgeois | Dentist | 13317 N Burnside, Gonzales, LA 70737 | 2020-09-11 |
| 1821612631 | Kene Anje Hamilton | Behavioral Analyst | 1028 East Worthy Street, Gonzales, LA 70737 | 2020-06-08 |
| 1801428636 | Mercedes Francis | Behavior Technician | 1023 E W Worthy Rd, Gonzales, LA 70737 | 2020-02-10 |
| 1407347586 | Functional Dme | Prosthetic/Orthotic Supplier | 219 W. Eastbank St., Ste B, Gonzales, LA 70737 | 2018-05-23 |
| 1235631789 | Transporting On Purpose | Non-emergency Medical Transport (VAN) | 42148 Conifer Drive, Gonzales, LA 70737 | 2018-03-01 |
| 1215453121 | Michelle Fuller Harris | Social Worker | 39094 N Angelle Ct, Gonzales, LA 70737 | 2017-08-22 |
| 1215452529 | Lani Litchfield | Specialist/Technologist | 13341 W. Mill Grove Dr, Gonzales, LA 70737 | 2017-08-08 |
| 1326569369 | Tyler Joshua Turner | Counselor | 1923 South Edwards, Gonzales, LA 70737 | 2017-06-29 |
| 1518408046 | Margaret Madere | Social Worker | 2827 S Ruby Street, Gonzales, LA 70737 | 2017-03-16 |
| Find all providers in zip 70737 | ||||
| Taxonomy Code | 251C00000X |
| Grouping | Agencies |
| Classification | Day Training, Developmentally Disabled Services |
| These agencies are authorized to provide day habilitation services to developmentally disabled individuals who live in their homes. The function of day habilitation is to assist an individual to acquire and maintain those life skills that enable the individual to cope more effectively with the demands of independent living. Also to raise the level of the individual's physical, mental, social, and vocational functioning. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093910168 | Angelic Sercives, LLC | Day Training, Developmentally Disabled Services | 14046 Airline Highway, Gonzales, LA 70737 | 2007-06-19 |
| 1982721247 | Community Opportunities of East Ascension | Day Training, Developmentally Disabled Services | 1122 E Ascension Complex Blvd, Gonzales, LA 70737-4265 | 2007-03-23 |
| 1255469136 | Island Enterprises, Inc. | Day Training, Developmentally Disabled Services | 1257 N Barman Ave, Gonzales, LA 70737-2440 | 2007-03-01 |
| 1578755138 | Angelic Services LLC | Day Training, Developmentally Disabled Services | 14046 Airline Hwy, Gonzales, LA 70737-6607 | 2007-08-16 |
| 1356563688 | Community Opportunities of E. Ascension | Day Training, Developmentally Disabled Services | 1122 E Ascension Complex Blvd, Gonzales, LA 70737-4265 | 2007-05-03 |
| 1265654594 | Community Opportunities of E. Ascension | Day Training, Developmentally Disabled Services | 1122 E Ascension Complex Blvd, Gonzales, LA 70737-4265 | 2007-05-03 |
| 1639391964 | Community Opportunities of E. Ascension | Day Training, Developmentally Disabled Services | 1122 E Ascension Complex Blvd, Gonzales, LA 70737-4265 | 2007-05-03 |
| 1285856518 | Community Opportunities of E. Ascension | Day Training, Developmentally Disabled Services | 1122 E Ascension Complex Blvd, Gonzales, LA 70737-4265 | 2007-05-03 |
| 1093937328 | Community Opportunities of E. Ascension | Day Training, Developmentally Disabled Services | 1122 E Ascension Complex Blvd, Gonzales, LA 70737-4265 | 2007-05-03 |
| 1902028236 | Community Opportunities of E. Ascension | Day Training, Developmentally Disabled Services | 1122 E Ascension Complex Blvd, Gonzales, LA 70737-4265 | 2007-05-03 |
| Find all providers in GONZALES | ||||
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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.