Angelic Arms Home Hospice, LLC

Primary specialty

Community Based Hospice Care AgencyTaxonomy code 251G00000X

Legal business name

ANGELIC ARMS HOME HOSPICE, LLC

Doing business as

Atlanta Family Hospice and Palliative Care II, LLC

Practice address

5950 Live Oak Parkway
Suite 240
Norcross, GA 30093-1743

Phone

(770) 892-1637

Fax

(770) 461-0507

NPI assigned

Jun 2, 2011

Last updated

Jul 21, 2022By 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

Ms. Sherian Sharomi

Title

Ceo/Administrator

Phone

(770) 892-1637

Specialties & licenses 1

Addresses

Other names 1

• Atlanta Family Hospice and Palliative Care II, LLC Doing business as

Medicare fee-for-service enrollment

Enrolled in GA

Enrollment records 1

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1124312574. Details of each certification follow.

• CCN 111731 Hospice · Active · Details

Hospice certification: CCN 111731

Legal name

ANGELIC ARMS HOME HOSPICE, LLC

Doing business as

ATLANTA FAMILY HOSPICE & PALLIATIVE CARE II, LLC

Certification status

Active

Provider type (POS)

Hospice

Participating since

Dec 3, 2012

Last certification

May 27, 2021

Ownership / control type

Non-Profit - Private

Organization structure

LLCProprietary

Incorporated

Apr 14, 2011 in GA

Enrollment address

5950 Live Oak Parkway
Suite 240
Norcross, GA 30093-1743

Listed as

Atlanta Family Hospice and Palliative Care II, LLCCCN 111731 · All quality measures

Ownership

Non-Profit

Certified

Dec 3, 2012

Medicare certification status

ActiveFrom the Provider of Services file

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

All disclosed owners & managing parties 3

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

Owners & managing parties with NPI records 1

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

• Sherian Alecia Sharomi

  • Clinical Social Worker
  • Norcross, GA
  • NPI 1972838365

  5% Or Greater Indirect Ownership Interest, Operational/Managerial Control, W-2 Managing Employee

  CMS ownership

Affiliated clinicians 1

Clinicians who list this facility as an affiliation in Medicare Care Compare.

• Faye Vargas Morris, M.D.

  • Internal Medicine Physician
  • Smyrna, GA
  • NPI 1194707398

  Hospice

  Care Compare affiliation

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

{
    "created_epoch": "1306972800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1124312574",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5950 LIVE OAK PARKWAY",
            "address_2": "SUITE 240",
            "city": "NORCROSS",
            "state": "GA",
            "postal_code": "300931743",
            "telephone_number": "770-892-1637",
            "fax_number": "770-461-0507"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5950 LIVE OAK PARKWAY",
            "address_2": "SUITE 240",
            "city": "NORCROSS",
            "state": "GA",
            "postal_code": "300931743",
            "telephone_number": "770-892-1637",
            "fax_number": "770-461-0507"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ANGELIC ARMS HOME HOSPICE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-06-02",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "SHAROMI",
        "authorized_official_first_name": "SHERIAN",
        "authorized_official_title_or_position": "CEO/ADMINISTRATOR",
        "authorized_official_telephone_number": "770-892-1637",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Atlanta Family Hospice and Palliative Care II, LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Tasha Nicole Anderson
• Jennifer L Andreae, THERAPY DIR. I
• Jade Anene
• Angel Family Home Care
• Angelcare Centers, Inc. (AngelCare Medical Center)
• Kari Lynn Angerhofer, MA
• Mayerlin Angulo, CBHT
• Celestina Ifeoma Aniekwe
• Ansitz Inc
• Donyell Anthony

• Community Based Hospice Care Agency in Norcross, GA
• Providers in Norcross, GA by specialty
• Community Based Hospice Care Agency in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.