Organization Active NPI

Dispatched Angels Home Care

  • In Home Supportive Care Agency
  • Stone Mountain, GA
National Provider Identifier
1447770482
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
License
044-R-1759 Issued in GA
Legal business name
DISPATCHED ANGELS HOME CARE
Practice address
619 El Prado Court
Stone Mountain, GA 30083
Phone
(706) 940-8126
Fax
(678) 785-4112
NPI assigned
Jun 21, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Authorized official

Name
Ms. Angela Crystal Dorsey, CNA
Title
Owner
Phone
(706) 940-8126

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
In Home Supportive Care Agency 253Z00000X 044-R-1759 GA Primary

Addresses

Primary practice location

619 El Prado Court
Stone Mountain, GA 30083

Mailing address

619 El Prado CT
Stone Mountain, GA 30083-3822
Phone (706) 940-8126

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1498003200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1447770482",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "619 EL PRADO CT",
            "city": "STONE MOUNTAIN",
            "state": "GA",
            "postal_code": "300833822",
            "telephone_number": "706-940-8126",
            "fax_number": "678-785-4112"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "619 EL PRADO COURT",
            "city": "STONE MOUNTAIN",
            "state": "GA",
            "postal_code": "30083",
            "telephone_number": "706-940-8126",
            "fax_number": "678-785-4112"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DISPATCHED ANGELS HOME CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-06-21",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "DORSEY",
        "authorized_official_first_name": "ANGELA",
        "authorized_official_middle_name": "CRYSTAL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "706-940-8126",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "CNA"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": "GA",
            "license": "044-R-1759",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Stone Mountain, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.