1. Home
  2. Directory
  3. Missouri
  4. Florissant
  5. Home Health
  6. NPI Profile

JACKIE'S ANGEL LLC
NPI 1205370228
Home Health in Florissant, MO

Active since December 09, 2016
185 CAPRI DR, FLORISSANT, MO 63033(314) 736-1180 Get Directions Write a Review

NPPES record last updated: December 9, 2016. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Jackie's Angel Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JACKIE'S ANGEL LLC (NPI 1205370228) is a healthcare organization registered as a home health in Florissant, Missouri and active in the NPI registry since December 2016. The organization lists Lashonda Marie Davis, Owner, as its authorized official.

NPPES Registry Identity

NPI1205370228
Entity TypeOrganization
Primary Taxonomy251E00000X
Legal Business NameJACKIE'S ANGEL LLC
Location Address185 CAPRI DRFlorissant, MO 63033-5808
Mailing Address185 Capri DrFlorissant, MO 63033-5808 · (314) 736-1180
Phone(314) 736-1180
Organization SubpartNo
Authorized OfficialLashonda Marie DavisOwner · (314) 736-1180
Enumeration DateDecember 9, 2016
✔ NPI 1205370228 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyHome HealthAgencies
Taxonomy Code251E00000X
Definition
A public agency or private organization, or a subdivision of such an agency or organization, that is primarily engaged in providing skilled nursing services and other therapeutic services, such as physical therapy, speech-language pathology services, or occupational therapy, medical social services, and home health aide services. It has policies established by a professional group associated with the agency or organization (including at least one physician and one registered nurse) to govern the services and provides for supervision of such services by a physician or a registered nurse; maintains clinical records on all patients; is licensed in accordance with State or local law or is approved by the State or local licensing agency as meeting the licensing standards, where applicable; and meets other conditions found by the Secretary of Health and Human Services to be necessary for health and safety.
185 CAPRI DR, Florissant, MO 63033
Open in Google Maps ↗

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jackie's Angel LLC's NPI number?

The NPI number for Jackie's Angel LLC is 1205370228. It was assigned to this organization in the NPPES registry on December 9, 2016.

Where is Jackie's Angel LLC located?

Jackie's Angel LLC is located at 185 Capri Dr, Florissant, MO 63033. The listed phone number is (314) 736-1180.

What is Jackie's Angel LLC's specialty?

The primary specialty registered for this NPI is Home Health with taxonomy code 251E00000X.

When was this NPI record last updated?

The NPPES record for Jackie's Angel LLC was last updated on December 9, 2016. NPI Profile syncs with the weekly NPPES data releases published by CMS.