Native Angels Home Care Agency Inc

Primary specialty

Personal Care AttendantTaxonomy code 3747P1801X

License

HC3488 Issued in NC

Legal business name

NATIVE ANGELS HOME CARE AGENCY INC

Practice address

113B West Broad St
Elizabethtown, NC 28337-9005

Phone

(910) 862-3971

Fax

(910) 862-8467

NPI assigned

Oct 18, 2007

Organization subpart

No

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

Authorized official

Name

Mrs. Bobbie Jacobs-Ghaffar

Title

Ceo

Phone

(910) 735-1541

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Native Angels Other name

Tax ID family

Native Angels Homecare Agency Inc3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

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

• Native Angels Home Care Agency Inc

  • Personal Care Attendant
  • Fayetteville, NC
  • NPI 1871771477
  NPD tax ID
• Native Angels Homecare Agency Inc

  • Nursing Care Agency
  • Whiteville, NC
  • NPI 1457549750
  NPD tax ID

Locations

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

• Native Angels Home Care Agency Inc

  • Personal Care Attendant
  • Fayetteville, NC
  • NPI 1871771477
  NPPES parent name

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

{
    "created_epoch": "1192665600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1213315200000",
    "number": "1356530026",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "201 EAST LIVERMORE DR",
            "city": "PEMBROKE",
            "state": "NC",
            "postal_code": "283727322",
            "telephone_number": "910-735-1541",
            "fax_number": "910-735-1550"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "113B WEST BROAD ST",
            "city": "ELIZABETHTOWN",
            "state": "NC",
            "postal_code": "283379005",
            "telephone_number": "910-862-3971",
            "fax_number": "910-862-8467"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NATIVE ANGELS HOME CARE AGENCY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-18",
        "last_updated": "2008-06-13",
        "status": "A",
        "authorized_official_last_name": "JACOBS-GHAFFAR",
        "authorized_official_first_name": "BOBBIE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "910-735-1541",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "3747P1801X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Technician, Personal Care Attendant",
            "state": "NC",
            "license": "HC3488",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6601764",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Native Angels",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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• Personal Care Attendant in Elizabethtown, NC
• Providers in Elizabethtown, NC by specialty
• Personal Care Attendant in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 13, 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.