CMS-1500 Box 24J / 33a • NPI
1770775108
Type 2 Organization (Box 32a/33a)
HIPAA NUCC Taxonomy • CMS Code
302R00000X
Licensed & Credentialed Health Maintenance Organization
Box 32 Service Location & ZIP+4
121 MARIE STREET, LAPLACE, LA, 70068
Official NPPES Practice Location
✓ HHS OIG LEIE Sanction Screening — VERIFIED CLEAR:
NPI
1770775108 (AN ANGELS TOUCH OF THE RIVER REGION) has 0 active federal exclusions across all 84,224 HHS OIG LEIE sanction records (Database Verified: 2026-11-11).
CMS Medicare Order & Referring PECOS Eligibility
Official CMS NPPES Credential & Practice Profile
| 10-Digit NPI Number | 1770775108 (NPI-2 Organization / Facility) |
|---|---|
| Provider / Legal Name | AN ANGELS TOUCH OF THE RIVER REGION |
| Plain-English Specialty | Licensed & Credentialed Health Maintenance Organization NUCC Code: 302R00000X (Health Maintenance Organization) |
| Certifying / Licensing Body | State Medical / Healthcare Licensing Board & National Specialty Board |
| Practice Location Address | 121 MARIE STREET, LAPLACE, LA, 70068 |
| Practice Telephone / Fax | Tel: (985) 651-7887 | Fax: (985) 651-5173 |
| Administrative Mailing Address | 121 MARIE STREET, LAPLACE, LA, 70068 |
| Enumeration & Last Sync | Enumerated: 2007-08-09 | CMS Record Updated: 2007-08-09 |
| Authorized Official | KENNETH VICTOR (Administrator) |
Clinic Location, Accessibility & Directions
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Plain-English Taxonomy & CMS Crosswalk (302R00000X)
What Does Taxonomy Code 302R00000X Mean?
In the HIPAA National Uniform Claim Committee (NUCC) classification, code 302R00000X translates to:
"Licensed & Credentialed Health Maintenance Organization"
Specialty Clinical Procedures & Therapeutic Classes
Standard Scope of Care (AN ANGELS TOUCH OF THE RIVER REGION)
Typical CPT / Diagnostic Procedures:- Comprehensive Outpatient & Inpatient Clinical Evaluation (CPT 99202–99215)
- Diagnostic Workup, Laboratory Ordering & Evidence-Based Care Coordination
- Preventive Screening, Patient Counseling & Multidisciplinary Referral
- Evidence-Based Specialty Pharmacotherapy & Preventive Regimens (CMS Part D Standard)
All Registered NUCC Taxonomies & State Licenses
| Taxonomy Code & Plain-English Description | State License & Primary Status |
|---|---|
385H00000X — Respite CarePlain English: Licensed & Credentialed Respite Care | State: LA | License: 9581 | Primary: Secondary |
302R00000X — Health Maintenance OrganizationPlain English: Licensed & Credentialed Health Maintenance Organization | State: LA | License: 10007 | Primary: Yes (Primary) |
Medical Billing, RCM & Hospital Credentialing Teams:
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