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GARDEN OF ANGELS LLC
NPI 1386088193
Clinic/Center - Adult Day Care in Jackson, MS

Active since April 23, 2013
4807 N STATE ST STE 406, JACKSON, MS 39206(601) 982-3555(601) 982-3557 Get Directions Write a Review

NPPES record last updated: July 21, 2022. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Garden Of Angels Llc NPPES

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

GARDEN OF ANGELS LLC (NPI 1386088193) is a healthcare organization registered as an adult day care in Jackson, Mississippi and active in the NPI registry since April 2013. The organization lists Pamala Thompson Jefferson, President/ Chief Executive Officer, as its authorized official.

NPPES Registry Identity

NPI1386088193
Entity TypeOrganization
Primary Taxonomy261QA0600X
Legal Business NameGARDEN OF ANGELS LLC
Location Address4807 N STATE ST STE 406Jackson, MS 39206-4826
Mailing Address4807 N State St Ste 406Jackson, MS 39206-4826 · (601) 982-3555 · Fax (601) 982-3557
Phone(601) 982-3555
Fax(601) 982-3557
Organization SubpartNo
Authorized OfficialPamala Thompson JeffersonPresident/ Chief Executive Officer · (601) 982-3555
Enumeration DateApril 23, 2013
Last NPPES UpdateJuly 21, 2022
✔ NPI 1386088193 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Adult Day CareAmbulatory Health Care Facilities
Taxonomy Code261QA0600X
4807 N STATE ST STE 406, Jackson, MS 39206
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Other Identifiers 8

Medicaid1265775803MS
Medicaid1215270921MS
Medicaid1801139449MS
Medicaid1548503170MS
Medicaid1114260882MS
Medicaid1265775894MS
Medicaid1447593082MS
Medicaid1578806246MS

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 Garden Of Angels LLC's NPI number?

The NPI number for Garden Of Angels LLC is 1386088193. It was assigned to this organization in the NPPES registry on April 23, 2013.

Where is Garden Of Angels LLC located?

Garden Of Angels LLC is located at 4807 N State St Ste 406, Jackson, MS 39206. The listed phone number is (601) 982-3555.

What is Garden Of Angels LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Adult Day Care, with taxonomy code 261QA0600X.

When was this NPI record last updated?

The NPPES record for Garden Of Angels LLC was last updated on July 21, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.