Active NPI
Neighborhood Angels LLC
- In Home Supportive Care Agency
- Cumming, GA
National Provider Identifier
1265725071
On this page
Key facts
NPPES NPI Registry- Primary specialty
- In Home Supportive Care Agency
- License
- 058-R-0712
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
National Provider Directory
National Provider DirectoryLocations
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.