Garden Of Angels Llc

LBN: Garden Of Angels Llc
Garden Of Angels Llc is an health care organization with primary practice located at 4807 N State St Ste 406 , Jackson MS 39206-4826. The organization recently has only one registered license in Ambulatory Health Care Facilities / Adult Day Care, which is considered as the primary health care specialty. Garden Of Angels Llc can be contacted via phone (601) 982-3555, or through Jefferson, Pamala Thompson via phone (601) 982-3555.

Contact Information

Primary practice address
4807 N State St Ste 406 Jackson MS 39206-4826
Phone: (601) 982-3555
Fax: (601) 982-3557
Website:
Map and Directions
Authorized official contact:
Name: Jefferson, Pamala Thompson
Phone: (601) 982-3555

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Adult Day Care 261QA0600X Mississippi

Profile Details

NPI number 1386088193
LBN Legal business name Garden Of Angels Llc
DBA Doing business as
Authorized official Jefferson, Pamala Thompson
Entity Organization
Organization subpart 1 No
Enumeration date Apr 23rd, 2013
Last updated Jul 21st, 2022 - about 2 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1386088193 NPPES
Mississippi MEDICAID 1215270921
Mississippi MEDICAID 1447593082
Mississippi MEDICAID 1801139449
Mississippi MEDICAID 1265775803
Mississippi MEDICAID 1114260882
Mississippi MEDICAID 1548503170
Mississippi MEDICAID 1578806246
Mississippi MEDICAID 1265775894

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