Angels of Grace, LLC

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Legal business name

ANGELS OF GRACE, LLC

Practice address

104 Jones Ferry Rd Ste a
Carrboro, NC 27510-2036

Phone

(919) 968-3724

Fax

(919) 551-8320

NPI assigned

Dec 21, 2020

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Ehimemen Ojeabulu Iboaya, MDNPI 1083626402

Title

Director

Phone

(336) 831-6380

Specialties & licenses 2

Addresses

Other names 1

• Visiting Angels of Chapel Hill Doing business as

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Ehimemen Ojeabulu Iboaya, MD

  • Critical Care Medicine (Anesthesiology) Physician
  • Durham, NC
  • NPI 1083626402
  NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1608508800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1608508800000",
    "number": "1003402322",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "104 JONES FERRY RD STE A",
            "city": "CARRBORO",
            "state": "NC",
            "postal_code": "275102036",
            "telephone_number": "919-968-3724",
            "fax_number": "919-551-8320"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "104 JONES FERRY RD STE A",
            "city": "CARRBORO",
            "state": "NC",
            "postal_code": "275102036",
            "telephone_number": "919-968-3724",
            "fax_number": "919-551-8320"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ANGELS OF GRACE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-12-21",
        "last_updated": "2020-12-21",
        "certification_date": "2020-12-21",
        "status": "A",
        "authorized_official_last_name": "IBOAYA",
        "authorized_official_first_name": "EHIMEMEN",
        "authorized_official_middle_name": "OJEABULU",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "336-831-6380",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Visiting Angels of Chapel Hill",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Beverly Allen, LCSW, LCAS,CCS
• Charyl F Allison, CDA
• Jamie A Allison, M.ED
• Alphabet Soup, Inc
• Diane Sahra Amundrud, DDS
• Lucy Melinda Angle, PA-C
• Angela Annas, M.ED. MSW LCSW
• Cory Lyn Annis, M.D.
• Arete Float Tank and Personal Optimization Center,LLC
• Morgan Armstrong

• All providers in Carrboro, NC
• Home Health Agency in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 21, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.