NPIMap

Organization Active NPI

Angel'S Home Health Care

  • In Home Supportive Care Agency
  • Bonaire, GA
National Provider Identifier
1164664678
Registry record updated Mar 30, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
License
CN0028845934 Issued in GA
Legal business name
ANGEL'S HOME HEALTH CARE
Practice address
102 Jupiter LN
Bonaire, GA 31005-3338
Phone
(478) 988-8751
Fax
(478) 218-2306
NPI assigned
Mar 30, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 30, 2009

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

Authorized official

Name
Ms. Talley Latiska Perine
Title
Home Health Care
Phone
(478) 988-8751

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
In Home Supportive Care Agency 253Z00000X CN0028845934 GA Primary

Addresses

Primary practice location

102 Jupiter LN
Bonaire, GA 31005-3338

Mailing address

102 Jupiter LN
Bonaire, GA 31005
Phone (478) 988-8751

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1238371200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1238371200000",
    "number": "1164664678",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "102 JUPITER LN",
            "city": "BONAIRE",
            "state": "GA",
            "postal_code": "31005",
            "telephone_number": "478-988-8751",
            "fax_number": "478-218-2306"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "102 JUPITER LN",
            "city": "BONAIRE",
            "state": "GA",
            "postal_code": "310053338",
            "telephone_number": "478-988-8751",
            "fax_number": "478-218-2306"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ANGEL'S HOME HEALTH CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-03-30",
        "last_updated": "2009-03-30",
        "status": "A",
        "authorized_official_last_name": "PERINE",
        "authorized_official_first_name": "TALLEY",
        "authorized_official_middle_name": "LATISKA",
        "authorized_official_title_or_position": "HOME HEALTH CARE",
        "authorized_official_telephone_number": "478-988-8751",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": "GA",
            "license": "CN0028845934",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bonaire, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 30, 2009; 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.