Organization Active NPI

Holistic Angels Provider Services Company

  • Home Health Agency
  • Decatur, GA
National Provider Identifier
1184278087
Registry record updated Feb 15, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
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, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 15, 2024

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
010350OtherGAGEORGIA DEPT OF COMMUNITY HEALTH

Other names 1

  • Holistic Angels Provider Services Company Doing business as

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL info@holisticangelshcs.com Health Information Exchange (HIE) Holistic Angels Home Care Services

National Provider Directory

National Provider Directory

NPI 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.

Verify at the official NPI Registry.