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ANGEL WING RESIDENTIAL CARE HOME
NPI 1497293559
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities in Demopolis, AL

Active since February 08, 2017
803 FLOYD AVE, DEMOPOLIS, AL 36732(334) 349-6916 Get Directions Write a Review

NPPES record last updated: February 8, 2017. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Angel Wing Residential Care Home NPPES

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

ANGEL WING RESIDENTIAL CARE HOME (NPI 1497293559), doing business as Residential Care Home, is a healthcare organization registered as a community based residential treatment facility, intellectual and/or developmental disabilities in Demopolis, Alabama and active in the NPI registry since February 2017. The organization lists Jacqueline Thomas Walls, Owner, as its authorized official.

NPPES Registry Identity

NPI1497293559
Entity TypeOrganization
Primary Taxonomy320900000X
Legal Business NameANGEL WING RESIDENTIAL CARE HOME
Location Address803 FLOYD AVEDemopolis, AL 36732-3157
Mailing Address803 Floyd AveDemopolis, AL 36732-3157 · (334) 349-6916
Phone(334) 349-6916
Organization SubpartNo
Authorized OfficialJacqueline Thomas WallsOwner · (334) 349-6916
Enumeration DateFebruary 8, 2017
✔ NPI 1497293559 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCommunity Based Residential Treatment Facility, Intellectual and/or Developmental DisabilitiesResidential Treatment Facilities
Taxonomy Code320900000X
Definition
A home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with mental retardation and/or developmental disabilities.
803 FLOYD AVE, Demopolis, AL 36732
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Other Names 1

Former Legal Business NameResidential Care Home

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

JACQUELINE THOMAS WALLS
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities
803 FLOYD AVE
DEMOPOLIS, AL 36732
Marengo County (334) 349-6916

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 Angel Wing Residential Care Home's NPI number?

The NPI number for Angel Wing Residential Care Home is 1497293559. It was assigned to this organization in the NPPES registry on February 8, 2017. The provider was formerly known as Residential Care Home.

Where is Angel Wing Residential Care Home located?

Angel Wing Residential Care Home is located at 803 Floyd Ave, Demopolis, AL 36732. The listed phone number is (334) 349-6916.

What is Angel Wing Residential Care Home's specialty?

The primary specialty registered for this NPI is Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities with taxonomy code 320900000X.

When was this NPI record last updated?

The NPPES record for Angel Wing Residential Care Home was last updated on February 8, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.