NPIMap

Organization Active NPI

Angel Star of Durham

  • Home Health Agency
  • High Point, NC
National Provider Identifier
1275792327
Registry record updated Jun 4, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
HC1481 Issued in NC
Legal business name
ANGEL STAR OF DURHAM
Practice address
110 Scott Ave
Suite a
High Point, NC 27262-7834
Phone
(336) 889-3372
Fax
(336) 889-3371
NPI assigned
Jun 4, 2008
Last updated
Jun 4, 2008By the provider in NPPES
Organization subpart
Yes
Parent organization
ASD HIGHPOINTIIAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jun 4, 2008

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

Authorized official

Name
Veronica McClendon
Title
Vice President
Phone
(740) 549-1659

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X HC1481 NC Primary

Addresses

Primary practice location

110 Scott Ave
Suite a
High Point, NC 27262-7834

Mailing address

110 Scott Ave
Suite a
High Point, NC 27262-7834
Phone (336) 889-3372

Other identifiers 1

IdentifierTypeStateIssuer
6601776MedicaidNC

National Provider Directory

National Provider Directory
Tax ID family
Angel Start of Durham7 organizations share this tax ID, including this one
Part of
Angel Start of Durham

Other organizations with this tax ID 6

Organizations that report the same tax identification number in the National Provider Directory.

Locations

110 Scott Ave
Ste A
High Point, NC 27262
Phone (336) 889-3372

NPI Registry JSON

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

{
    "created_epoch": "1212537600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1212537600000",
    "number": "1275792327",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "110 SCOTT AVE",
            "address_2": "SUITE A",
            "city": "HIGH POINT",
            "state": "NC",
            "postal_code": "272627834",
            "telephone_number": "336-889-3372",
            "fax_number": "336-889-3371"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "110 SCOTT AVE",
            "address_2": "SUITE A",
            "city": "HIGH POINT",
            "state": "NC",
            "postal_code": "272627834",
            "telephone_number": "336-889-3372",
            "fax_number": "336-889-3371"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ANGEL STAR OF DURHAM",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "ASD HIGHPOINTII",
        "enumeration_date": "2008-06-04",
        "last_updated": "2008-06-04",
        "status": "A",
        "authorized_official_last_name": "MCCLENDON",
        "authorized_official_first_name": "VERONICA",
        "authorized_official_title_or_position": "VICE PRESIDENT",
        "authorized_official_telephone_number": "740-549-1659"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "NC",
            "license": "HC1481",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6601776",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in High Point, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 4, 2008; 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.