Charlies Angels Care Corp

Primary specialty

In Home Supportive Care AgencyTaxonomy code 253Z00000X

Legal business name

CHARLIES ANGELS CARE CORP

Practice address

525 W Broad St
Twin City, GA 30471-4187

Phone

(478) 299-8531

NPI assigned

Nov 5, 2020

Last updated

Nov 5, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Crsytal Scott

Title

Ceo

Phone

(478) 299-8531

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1604534400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1604534400000",
    "number": "1336740356",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "525 W BROAD ST",
            "city": "TWIN CITY",
            "state": "GA",
            "postal_code": "304714187"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "525 W BROAD ST",
            "city": "TWIN CITY",
            "state": "GA",
            "postal_code": "304714187",
            "telephone_number": "478-299-8531"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHARLIES ANGELS CARE CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-11-05",
        "last_updated": "2020-11-05",
        "certification_date": "2020-11-05",
        "status": "A",
        "authorized_official_last_name": "SCOTT",
        "authorized_official_first_name": "CRSYTAL",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "478-299-8531"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• 2-K Pharmakon Services LLC (Twin City Drug Company)
• 2-K Pharmakon Services LLC (Twin City Drug Co.)
• Claire Ault, NP
• Casey Clark
• Community Service Board of Middle Georgia
• East Georgia Healthcare Center, Inc. (Emanuel County Institute)
• Emanuel County Board of Health (Emanuel County Health Dept Twin City Clinic)
• Emanuel County Hospital Authority (Twin City Family Health Center)

• In Home Supportive Care Agency in Twin City, GA
• Providers in Twin City, GA by specialty
• In Home Supportive Care Agency in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 5, 2020; 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.