Organization Active NPI

Angelic Hearts Home Care LLC

  • In Home Supportive Care Agency
  • Macon, GA
National Provider Identifier
1245817048
Registry record updated May 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
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

Updated by the provider on May 13, 2026

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)CodeLicenseStatePrimary
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 Directory

Locations

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.

Verify at the official NPI Registry.