Organization Active NPI

Earthly Angels Home Care LLC

  • Home Health Agency
  • Gastonia, NC
National Provider Identifier
1316661077
Registry record updated Sep 27, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
EARTHLY ANGELS HOME CARE LLC
Practice address
625 E 2ND Ave Ste 1
Gastonia, NC 28054-0470
Phone
(980) 888-0171
Fax
(704) 327-5856
NPI assigned
Sep 27, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 27, 2022

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

Authorized official

Name
Anita Hamrick
Title
Owner
Phone
(704) 923-4719

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary

Addresses

Primary practice location

625 E 2ND Ave Ste 1
Gastonia, NC 28054-0470

Mailing address

3210 Hendricks Chapel LN
Charlotte, NC 28216-2738
Phone (704) 923-4719

Other identifiers 1

IdentifierTypeStateIssuer
HC6204MedicaidNC

National Provider Directory

National Provider Directory
Tax ID family
Earthly Angels Home Care LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

NPI Registry JSON

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

{
    "created_epoch": "1664236800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1664236800000",
    "number": "1316661077",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3210 HENDRICKS CHAPEL LN",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282162738",
            "telephone_number": "704-923-4719"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "625 E 2ND AVE STE 1",
            "city": "GASTONIA",
            "state": "NC",
            "postal_code": "280540470",
            "telephone_number": "980-888-0171",
            "fax_number": "704-327-5856"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EARTHLY ANGELS HOME CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-09-27",
        "last_updated": "2022-09-27",
        "certification_date": "2021-08-25",
        "status": "A",
        "authorized_official_last_name": "HAMRICK",
        "authorized_official_first_name": "ANITA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "704-923-4719"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "HC6204",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Gastonia, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 27, 2022; 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.