Native Angels Homecare Agency Inc.

Primary specialty

Community Based Hospice Care AgencyTaxonomy code 251G00000X

License

HOS2861 Issued in NC

Legal business name

NATIVE ANGELS HOMECARE AGENCY INC.

Practice address

201 E. Livermore Drive
Pembroke, NC 28372-7322

Phone

(910) 272-6400

Fax

(910) 320-6077

NPI assigned

Apr 6, 2006

Organization subpart

No

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

Authorized official

Name

Mrs. Bobbie Jacobs Ghaffar

Title

Ceo

Phone

(910) 272-6400

Specialties & licenses 1

Addresses

Other identifiers 1

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

• Native Angels Homecare Agency Inc

  • Nursing Care Agency
  • Whiteville, NC
  • NPI 1457549750
  NPPES parent name

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

{
    "created_epoch": "1144281600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1351036800000",
    "number": "1063474740",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "201 E. LIVERMORE DRIVE",
            "city": "PEMBROKE",
            "state": "NC",
            "postal_code": "283727322",
            "telephone_number": "910-272-6400",
            "fax_number": "910-321-6077"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "201 E. LIVERMORE DRIVE",
            "city": "PEMBROKE",
            "state": "NC",
            "postal_code": "283727322",
            "telephone_number": "910-272-6400",
            "fax_number": "910-320-6077"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NATIVE ANGELS HOMECARE AGENCY INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-04-06",
        "last_updated": "2012-10-24",
        "status": "A",
        "authorized_official_last_name": "GHAFFAR",
        "authorized_official_first_name": "BOBBIE",
        "authorized_official_middle_name": "JACOBS",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "910-272-6400",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": "NC",
            "license": "HOS2861",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3401590",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Community Based Hospice Care Agency in Pembroke, NC
• Providers in Pembroke, NC by specialty
• Community Based Hospice Care Agency in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 24, 2012; 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.