KC's Angelsinc.

Primary specialty

In Home Supportive Care AgencyTaxonomy code 253Z00000X

Legal business name

KC'S ANGELSINC.

Doing business as

Kc'AngelsINC.

Practice address

5821 Fort Rd
Greenwood, FL 32443-1957

Phone

(850) 209-0032

NPI assigned

Jul 28, 2021

Last updated

Jul 28, 2021By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Avia L Decree

Title

Owner

Phone

(850) 209-0032

Specialties & licenses 1

Addresses

Other names 1

• Kc'AngelsINC. Doing business as

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

{
    "created_epoch": "1627430400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1627430400000",
    "number": "1083387864",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5821 FORT RD",
            "city": "GREENWOOD",
            "state": "FL",
            "postal_code": "324431957",
            "telephone_number": "850-209-0032"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5821 FORT RD",
            "city": "GREENWOOD",
            "state": "FL",
            "postal_code": "324431957",
            "telephone_number": "850-209-0032"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KC'S ANGELSINC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-07-28",
        "last_updated": "2021-07-28",
        "certification_date": "2021-07-28",
        "status": "A",
        "authorized_official_last_name": "DECREE",
        "authorized_official_first_name": "AVIA",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "850-209-0032"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Kc'AngelsINC.",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Lowanda Calhoun Daniels
• Monyce Evans, ARNP
• Derrick Johnson
• Katrena Faye Johnson, SUPPORTED LIVING COA
• Kimberly Ann Johnson, RCSWI
• Carol McGee, LIS. MASSAGE THERAPI
• Latoya Natasha Peoples Gibbs, LPN
• Morgan Nicole Seay, COTA/L
• Jeanne Gynelle Wooden

• In Home Supportive Care Agency in Greenwood, FL
• Providers in Greenwood, FL by specialty
• In Home Supportive Care Agency in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 28, 2021; 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.