Active NPI
Heavenly Angels Home Care LLC
- In Home Supportive Care Agency
- Atlanta, GA
National Provider Identifier
1386998441
On this page
Key facts
NPPES NPI Registry- Primary specialty
- In Home Supportive Care Agency
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 DirectoryLocations
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.