Organization Active NPI

Neighborhood Angels LLC

  • In Home Supportive Care Agency
  • Cumming, GA
National Provider Identifier
1265725071
Registry record updated May 26, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
License
058-R-0712 Issued in GA
Legal business name
NEIGHBORHOOD ANGELS LLC
Practice address
3060 Keith Bridge Rd
Ste C-3
Cumming, GA 30041-3954
Phone
(770) 889-8880
Fax
(770) 886-0469
NPI assigned
May 26, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 26, 2011

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

Authorized official

Name
Mrs. Janice Ingrassia Davis
Title
Administrator/Owner
Phone
(770) 889-8880

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
In Home Supportive Care Agency 253Z00000X 058-R-0712 GA Primary

Addresses

Primary practice location

3060 Keith Bridge Rd
Ste C-3
Cumming, GA 30041-3954

Mailing address

3060 Keith Bridge Rd
Ste C-3
Cumming, GA 30041-3954
Phone (770) 889-8880

Other names 1

  • Stay at Home of NE Georgia Doing business as

National Provider Directory

National Provider Directory

Locations

3060 Keith Bridge Rd
Ste C3
Cumming, GA 30041
Phone (770) 889-8880

NPI Registry JSON

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

{
    "created_epoch": "1306368000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1306368000000",
    "number": "1265725071",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3060 KEITH BRIDGE RD",
            "address_2": "STE C-3",
            "city": "CUMMING",
            "state": "GA",
            "postal_code": "300413954",
            "telephone_number": "770-889-8880",
            "fax_number": "770-886-0469"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3060 KEITH BRIDGE RD",
            "address_2": "STE C-3",
            "city": "CUMMING",
            "state": "GA",
            "postal_code": "300413954",
            "telephone_number": "770-889-8880",
            "fax_number": "770-886-0469"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEIGHBORHOOD ANGELS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-05-26",
        "last_updated": "2011-05-26",
        "status": "A",
        "authorized_official_last_name": "DAVIS",
        "authorized_official_first_name": "JANICE",
        "authorized_official_middle_name": "INGRASSIA",
        "authorized_official_title_or_position": "ADMINISTRATOR/OWNER",
        "authorized_official_telephone_number": "770-889-8880",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": "GA",
            "license": "058-R-0712",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Stay at Home of NE Georgia",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Cumming, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 26, 2011; 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.