NPIMap

Organization Active NPI

Angel Heart Homecare & Hospice

  • In Home Supportive Care Agency
  • Manchester, GA
National Provider Identifier
1376829473
Registry record updated Nov 2, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
Legal business name
ANGEL HEART HOMECARE & HOSPICE
Practice address
18 E Main St
Manchester, GA 31816-2113
Phone
(904) 303-5535
Fax
(404) 763-4115
NPI assigned
Nov 2, 2011
Last updated
Nov 2, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 2, 2011

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

Authorized official

Name
Ms. Miriam Thompson, LPNNPI 1649614017
Title
Ceo
Phone
(770) 873-3185

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Community Based Hospice Care Agency 251G00000X GA
Nursing Care Agency 251J00000X GA
In Home Supportive Care Agency 253Z00000X GA Primary

Addresses

Primary practice location

18 E Main St
Manchester, GA 31816-2113

Mailing address

18 E Main St
Manchester, GA 31816-2113
Phone (904) 303-5535

National Provider Directory

National Provider Directory
Tax ID family
Angel Heart2 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.

Locations

18 E Main St
Manchester, GA 31816
Phone (904) 303-5535

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1320192000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1320192000000",
    "number": "1376829473",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18 E MAIN ST",
            "city": "MANCHESTER",
            "state": "GA",
            "postal_code": "318162113",
            "telephone_number": "904-303-5535",
            "fax_number": "404-763-4115"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18 E MAIN ST",
            "city": "MANCHESTER",
            "state": "GA",
            "postal_code": "318162113",
            "telephone_number": "904-303-5535",
            "fax_number": "404-763-4115"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ANGEL HEART HOMECARE & HOSPICE",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-11-02",
        "last_updated": "2011-11-02",
        "status": "A",
        "authorized_official_last_name": "THOMPSON",
        "authorized_official_first_name": "MIRIAM",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "770-873-3185",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "LPN"
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": "GA",
            "license": null,
            "primary": false
        },
        {
            "code": "251J00000X",
            "taxonomy_group": "",
            "desc": "Nursing Care",
            "state": "GA",
            "license": null,
            "primary": false
        },
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": "GA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Manchester, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 2, 2011; 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.