Provider Demographics
NPI: | 1336586148 |
---|---|
Name: | ANGELS OF MERCY |
Entity type: | Organization |
Organization Name: | ANGELS OF MERCY |
Other - Org Name: | |
Other - Org Type: | |
Authorized Official - Title/Position: | MANAGER |
Authorized Official - Prefix: | MS |
Authorized Official - First Name: | NADINE |
Authorized Official - Middle Name: | |
Authorized Official - Last Name: | TOWNSEND |
Authorized Official - Suffix: | |
Authorized Official - Credentials: | |
Authorized Official - Phone: | 816-550-4151 |
Mailing Address - Street 1: | 6301 ROCKHILL RD |
Mailing Address - Street 2: | SUITE 413 |
Mailing Address - City: | KANSAS CITY |
Mailing Address - State: | MO |
Mailing Address - Zip Code: | 64131-1124 |
Mailing Address - Country: | US |
Mailing Address - Phone: | 816-550-4151 |
Mailing Address - Fax: | 816-763-6651 |
Practice Address - Street 1: | 6301 ROCKHILL RD |
Practice Address - Street 2: | SUITE 413 |
Practice Address - City: | KANSAS CITY |
Practice Address - State: | MO |
Practice Address - Zip Code: | 64131-1124 |
Practice Address - Country: | US |
Practice Address - Phone: | 816-550-4151 |
Practice Address - Fax: | 816-763-6651 |
EIN: | <UNAVAIL> |
Is Organization Subpart?: | No |
Parent Organization LBN: | |
Parent Organization TIN: | |
Enumeration Date: | 2013-06-03 |
Last Update Date: | 2013-06-03 |
Deactivation Date: | |
Deactivation Code: | |
Reactivation Date: |
Provider Licenses
State | License ID | Taxonomies |
---|---|---|
MO | 251E00000X | |
253Z00000X |
Provider Taxonomies
Primary? | Code | Type | Classification | Specialization |
---|---|---|---|---|
Yes | 253Z00000X | Agencies | In Home Supportive Care | |
No | 251E00000X | Agencies | Home Health |