Active NPI
Holistic Angels Provider Services Company
- Home Health Agency
- Decatur, GA
National Provider Identifier
1184278087
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Agency
- Legal business name
- HOLISTIC ANGELS PROVIDER SERVICES COMPANY
- Doing business as
- Holistic Angels Provider Services Company
- Practice address
- 3011 Rainbow Dr Ste 303
Decatur, GA 30034-1867 - Phone
- (678) 773-0291
- NPI assigned
- Jul 29, 2019
- Last updated
- Feb 15, 2024
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Ebony Holifield, REGISTERED NURSE
- Title
- Administration
- Phone
- (404) 317-7270
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Agency | 251E00000X | NU | Primary |
Addresses
Primary practice location
3011 Rainbow Dr Ste 303
Decatur, GA 30034-1867
Mailing address
3011 Rainbow Dr Ste 303
Decatur, GA 30034-1867
Phone (678) 773-0291
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 010350 | Other | GA | GEORGIA DEPT OF COMMUNITY HEALTH |
Other names 1
- Holistic Angels Provider Services Company
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | info@holisticangelshcs.com | Health Information Exchange (HIE) | Holistic Angels Home Care Services |
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1564358400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1707955200000",
"number": "1184278087",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3011 RAINBOW DR STE 303",
"city": "DECATUR",
"state": "GA",
"postal_code": "300341867",
"telephone_number": "678-773-0291"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3011 RAINBOW DR STE 303",
"city": "DECATUR",
"state": "GA",
"postal_code": "300341867",
"telephone_number": "678-773-0291"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "HOLISTIC ANGELS PROVIDER SERVICES COMPANY",
"organizational_subpart": "NO",
"enumeration_date": "2019-07-29",
"last_updated": "2024-02-15",
"certification_date": "2024-02-15",
"status": "A",
"authorized_official_last_name": "HOLIFIELD",
"authorized_official_first_name": "EBONY",
"authorized_official_title_or_position": "ADMINISTRATION",
"authorized_official_telephone_number": "404-317-7270",
"authorized_official_credential": "REGISTERED NURSE"
},
"taxonomies": [
{
"code": "251E00000X",
"taxonomy_group": "",
"desc": "Home Health",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "GEORGIA DEPT OF COMMUNITY HEALTH",
"identifier": "010350",
"state": "GA"
}
],
"endpoints": [
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "info@holisticangelshcs.com",
"affiliation": "Y",
"endpointDescription": "company email",
"affiliationName": "Holistic Angels Home Care Services",
"use": "HIE",
"useDescription": "Health Information Exchange (HIE)",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "all",
"address_1": "3011 Rainbow Dr Ste 303",
"city": "Decatur",
"state": "GA",
"country_code": "US",
"postal_code": "300341867",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": [
{
"organization_name": "Holistic Angels Provider Services Company",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Decatur, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 15, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.