Angels Squad Home Health, LLC

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Legal business name

ANGELS SQUAD HOME HEALTH, LLC

Practice address

4296 Memorial Dr Ste a
Decatur, GA 30032-1227

Phone

(470) 641-3075

NPI assigned

Jul 29, 2022

Organization subpart

No

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

Authorized official

Name

Edna Nwabogor Okorie

Title

Administrator and Owner

Phone

(470) 641-3075

Specialties & licenses 4

Addresses

Locations

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

{
    "created_epoch": "1659052800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1659052800000",
    "number": "1144956343",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "239 SWEET CANE TRL",
            "city": "GRAYSON",
            "state": "GA",
            "postal_code": "300174143",
            "telephone_number": "404-944-7971"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4296 MEMORIAL DR STE A",
            "city": "DECATUR",
            "state": "GA",
            "postal_code": "300321227",
            "telephone_number": "470-641-3075"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "239 Sweet Cane Trl",
            "address_purpose": "LOCATION",
            "city": "Grayson",
            "state": "GA",
            "postal_code": "300174143",
            "country_code": "US",
            "telephone_number": "470-641-3075",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "ANGELS SQUAD HOME HEALTH, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-07-29",
        "last_updated": "2022-07-29",
        "certification_date": "2022-07-28",
        "status": "A",
        "authorized_official_last_name": "OKORIE",
        "authorized_official_first_name": "EDNA",
        "authorized_official_middle_name": "NWABOGOR",
        "authorized_official_title_or_position": "ADMINISTRATOR AND OWNER",
        "authorized_official_telephone_number": "470-641-3075"
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Theresa U Anieke

• Home Health Agency in Decatur, GA
• Providers in Decatur, GA by specialty
• Home Health Agency in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 29, 2022; 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.