Blue Angels Healthcare Services.LLC

Primary specialty

Home Health AideTaxonomy code 374U00000X

Legal business name

BLUE ANGELS HEALTHCARE SERVICES.LLC

Practice address

3500 Amos Dr
Greensboro, NC 27405-3774

Phone

(571) 238-2803

NPI assigned

Jun 6, 2024

Last updated

Jun 26, 2024By 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

Koisau Kisses Morlu, LPN

Title

Own/Administrator

Phone

(571) 238-2803

Specialties & licenses 5

Addresses

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

{
    "created_epoch": "1717632000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1719360000000",
    "number": "1366284846",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3500 AMOS DR",
            "city": "GREENSBORO",
            "state": "NC",
            "postal_code": "274053774",
            "telephone_number": "571-238-2803"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3500 AMOS DR",
            "city": "GREENSBORO",
            "state": "NC",
            "postal_code": "274053774",
            "telephone_number": "571-238-2803"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BLUE ANGELS HEALTHCARE SERVICES.LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-06-06",
        "last_updated": "2024-06-26",
        "certification_date": "2024-06-26",
        "status": "A",
        "authorized_official_last_name": "MORLU",
        "authorized_official_first_name": "KOISAU",
        "authorized_official_middle_name": "KISSES",
        "authorized_official_title_or_position": "OWN/ADMINISTRATOR",
        "authorized_official_telephone_number": "571-238-2803",
        "authorized_official_credential": "LPN"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "374U00000X",
            "taxonomy_group": "",
            "desc": "Home Health Aide",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "376K00000X",
            "taxonomy_group": "",
            "desc": "Nurse's Aide",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "385HR2050X",
            "taxonomy_group": "",
            "desc": "Respite Care, Respite Care Camp",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Gustav Arthur Blomquist Jr., MD
• Mitchell Bloom, M.D.
• Tatyana Bloomfield
• Brannon Elizabeth Blount, MS, RDN
• Keleigh Blount, LPC-A, NCC, CCMHC
• Blue Ridge Health Services (Your Best Friend)
• Blue Skies Health Care, Inc.
• Brittany P Blue, DDS
• Soijett Alantra Blue
• Blueprint Technologies, Inc (Bpti Healthcare)

• Home Health Aide in Greensboro, NC
• Providers in Greensboro, NC by specialty
• Home Health Aide in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 26, 2024; 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.