Active NPI
Angelic Hearts Home Care LLC
- In Home Supportive Care Agency
- Macon, GA
National Provider Identifier
1245817048
On this page
Key facts
NPPES NPI Registry- Primary specialty
- In Home Supportive Care Agency
- Legal business name
- ANGELIC HEARTS HOME CARE LLC
- Practice address
- 4900 Mercer University Dr Ste 2
Macon, GA 31210-6239 - Phone
- (478) 845-3389
- Fax
- (470) 695-0467
- NPI assigned
- Mar 26, 2021
- 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
- Shantavia Gunn
- Title
- Owner
- Phone
- (478) 845-3389
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| In Home Supportive Care Agency | 253Z00000X | Primary |
Addresses
Primary practice location
4900 Mercer University Dr Ste 2
Macon, GA 31210-6239
Mailing address
4900 Mercer University Dr Ste 2
Macon, GA 31210-6239
Phone (478) 845-3389
Other practice location 1
7027 Old Madison Pike NW Ste 108
Huntsville, AL 35806-2369
Phone (938) 227-1516
Other practice location 2
4700 Millenia Blvd Ste 500
Orlando, FL 32839-6019
Phone (407) 414-2909
National Provider Directory
National Provider DirectoryLocations
4900 Mercer University Dr
Ste 2
Macon, GA 31210
Phone (478) 845-3389
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1616716800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1778630400000",
"number": "1245817048",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4900 MERCER UNIVERSITY DR STE 2",
"city": "MACON",
"state": "GA",
"postal_code": "312106239",
"telephone_number": "478-845-3389",
"fax_number": "470-695-0467"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4900 MERCER UNIVERSITY DR STE 2",
"city": "MACON",
"state": "GA",
"postal_code": "312106239",
"telephone_number": "478-845-3389",
"fax_number": "470-695-0467"
}
],
"practiceLocations": [
{
"address_1": "7027 Old Madison Pike NW Ste 108",
"address_purpose": "LOCATION",
"city": "Huntsville",
"state": "AL",
"postal_code": "358062369",
"country_code": "US",
"telephone_number": "938-227-1516",
"fax_number": "470-695-0467",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "4700 Millenia Blvd Ste 500",
"address_purpose": "LOCATION",
"city": "Orlando",
"state": "FL",
"postal_code": "328396019",
"country_code": "US",
"telephone_number": "407-414-2909",
"fax_number": "470-695-0467",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"organization_name": "ANGELIC HEARTS HOME CARE LLC",
"organizational_subpart": "NO",
"enumeration_date": "2021-03-26",
"last_updated": "2026-05-13",
"certification_date": "2026-05-13",
"status": "A",
"authorized_official_last_name": "GUNN",
"authorized_official_first_name": "SHANTAVIA",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "478-845-3389"
},
"taxonomies": [
{
"code": "253Z00000X",
"taxonomy_group": "",
"desc": "In Home Supportive Care",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Macon, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.