NPIMap

Organization Active NPI

Angels With Care Agency

  • Home Health Agency
  • Baxley, GA
National Provider Identifier
1154480333
Registry record updated Jul 21, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
001-R-0005 Issued in GA
Legal business name
ANGELS WITH CARE AGENCY
Practice address
1781 Doc McTier Rd.
Baxley, GA 31513
Phone
(912) 366-8644
Fax
(912) 366-8645
NPI assigned
Dec 6, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2008

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

Authorized official

Name
Mrs. Patricia M McTier, RN
Title
Owner/Administrator
Phone
(912) 366-8644

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X 001-R-0005 GA Primary

Addresses

Primary practice location

1781 Doc McTier Rd.
Baxley, GA 31513

Mailing address

1781 Doc McTier Rd
Baxley, GA 31513
Phone (912) 366-8644

Other identifiers 1

IdentifierTypeStateIssuer
000886201AMedicaidGA

National Provider Directory

National Provider Directory
Tax ID family
Angels With Care Agency3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1165363200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1216598400000",
    "number": "1154480333",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1781 DOC MCTIER RD",
            "city": "BAXLEY",
            "state": "GA",
            "postal_code": "31513",
            "telephone_number": "912-366-8644",
            "fax_number": "912-366-8645"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1781 DOC MCTIER RD.",
            "city": "BAXLEY",
            "state": "GA",
            "postal_code": "31513",
            "telephone_number": "912-366-8644",
            "fax_number": "912-366-8645"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ANGELS WITH CARE AGENCY",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-06",
        "last_updated": "2008-07-21",
        "status": "A",
        "authorized_official_last_name": "MCTIER",
        "authorized_official_first_name": "PATRICIA",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OWNER/ADMINISTRATOR",
        "authorized_official_telephone_number": "912-366-8644",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "GA",
            "license": "001-R-0005",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000886201A",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Baxley, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2008; 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.