Ra Home Angels Corp

Primary specialty

In Home Supportive Care AgencyTaxonomy code 253Z00000X

License

067-R-0596 Issued in GA

Legal business name

RA HOME ANGELS CORP

Doing business as

Renaissance Care of the South

Practice address

4496 E Jones Bridge Rd
Norcross, GA 30092-1617

Phone

(770) 409-1455

NPI assigned

Sep 8, 2009

Last updated

Aug 29, 2012By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mrs. Rasa Stripeikis, PMP

Title

Co Owner

Phone

(770) 409-1455

Specialties & licenses 1

Addresses

Other names 1

• Renaissance Care of the South Doing business as

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

{
    "created_epoch": "1252368000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1346198400000",
    "number": "1255664306",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4496 E JONES BRIDGE RD",
            "city": "NORCROSS",
            "state": "GA",
            "postal_code": "300921617",
            "telephone_number": "770-409-1455"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4496 E JONES BRIDGE RD",
            "city": "NORCROSS",
            "state": "GA",
            "postal_code": "300921617",
            "telephone_number": "770-409-1455"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RA HOME ANGELS CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-09-08",
        "last_updated": "2012-08-29",
        "status": "A",
        "authorized_official_last_name": "STRIPEIKIS",
        "authorized_official_first_name": "RASA",
        "authorized_official_title_or_position": "CO OWNER",
        "authorized_official_telephone_number": "770-409-1455",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "PMP"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": "GA",
            "license": "067-R-0596",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Renaissance Care of the South",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• In Home Supportive Care Agency in Norcross, GA
• Providers in Norcross, GA by specialty
• In Home Supportive Care Agency in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 29, 2012; 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.