# ANGELS ON YOUR SIDE HOME CARE

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1356908214
- **Authorized official:** TAIMEKA HAGGANS (CEO)
- **Authorized official phone:** (870) 455-3004

## Contact information

- **Practice address:** 2022 E BROADWAY ST, FORREST CITY, AR 72335-7881
- **Practice address phone:** (870) 455-3004
- **Mailing address:** PO BOX 462, FORREST CITY, AR 72336-0462
- **Mailing address phone:** (870) 455-3004

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251E00000X | Home Health Agency | — | NULL | Yes |
| 251S00000X | Community/Behavioral Health Agency | — | NULL | — |
| 253Z00000X | In Home Supportive Care Agency | — | NULL | — |
| 261QM0801X | Mental Health Clinic/Center (Including Community Mental Health Center) | — | NULL | — |
| 320900000X | Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility | — | NULL | — |

## Other

- **Enumeration date:** 05/24/2019
- **Last updated:** 11/03/2021