Active NPI
Dispatched Angels Home Care
- In Home Supportive Care Agency
- Stone Mountain, GA
National Provider Identifier
1447770482
On this page
Key facts
NPPES NPI Registry- Primary specialty
- In Home Supportive Care Agency
- License
- 044-R-1759
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 DirectoryNPI 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.