Organization Active NPI

Heavenly Angels Home Care LLC

  • In Home Supportive Care Agency
  • Atlanta, GA
National Provider Identifier
1386998441
Registry record updated Oct 28, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
Legal business name
HEAVENLY ANGELS HOME CARE LLC
Practice address
3379 Peachtree Rd NE
Suite 555
Atlanta, GA 30326-1031
Phone
(678) 358-5859
NPI assigned
Oct 28, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 28, 2012

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

Authorized official

Name
Miss Davein Latrice Green
Title
Ceo
Phone
(678) 358-5859

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
In Home Supportive Care Agency 253Z00000X Primary

Addresses

Primary practice location

3379 Peachtree Rd NE
Suite 555
Atlanta, GA 30326-1031

Mailing address

3379 Peachtree Rd NE
Suite 555
Atlanta, GA 30326-1031

National Provider Directory

National Provider Directory

Locations

3379 Peachtree Rd NE
Ste 555
Atlanta, GA 30326
Phone (404) 682-0767

NPI Registry JSON

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

{
    "created_epoch": "1351382400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1351382400000",
    "number": "1386998441",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3379 PEACHTREE RD NE",
            "address_2": "SUITE 555",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303261031"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3379 PEACHTREE RD NE",
            "address_2": "SUITE 555",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303261031",
            "telephone_number": "678-358-5859"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEAVENLY ANGELS HOME CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-10-28",
        "last_updated": "2012-10-28",
        "status": "A",
        "authorized_official_last_name": "GREEN",
        "authorized_official_first_name": "DAVEIN",
        "authorized_official_middle_name": "LATRICE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "678-358-5859",
        "authorized_official_name_prefix": "Miss"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Atlanta, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 28, 2012; 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.