Organization Active NPI

Grace Angels Home Care Corp.

  • Home Health Agency
  • Atlanta, GA
National Provider Identifier
1255842647
Registry record updated Oct 12, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
GRACE ANGELS HOME CARE CORP.
Practice address
1170 Peachtree St NE Ste 1200
Atlanta, GA 30309-7673
Phone
(877) 663-6211
Fax
(877) 829-1388
NPI assigned
Oct 12, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 12, 2017

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

Authorized official

Name
Sedrickious Williams
Title
Ceo
Phone
(877) 663-6211

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary

Addresses

Primary practice location

1170 Peachtree St NE Ste 1200
Atlanta, GA 30309-7673

Mailing address

1170 Peachtree St NE Ste 1200
Atlanta, GA 30309-7673
Phone (877) 663-6211

National Provider Directory

National Provider Directory

Locations

1170 Peachtree St NE
Ste 1200
Atlanta, GA 30309
Phone (404) 219-4404

NPI Registry JSON

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

{
    "created_epoch": "1507766400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1507766400000",
    "number": "1255842647",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1170 PEACHTREE ST NE STE 1200",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303097673",
            "telephone_number": "877-663-6211",
            "fax_number": "877-829-1388"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1170 PEACHTREE ST NE STE 1200",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303097673",
            "telephone_number": "877-663-6211",
            "fax_number": "877-829-1388"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GRACE ANGELS HOME CARE CORP.",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-10-12",
        "last_updated": "2017-10-12",
        "status": "A",
        "authorized_official_last_name": "WILLIAMS",
        "authorized_official_first_name": "SEDRICKIOUS",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "877-663-6211"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Atlanta, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 12, 2017; 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.