Native Angels Homecare Agency Inc

Primary specialty

Nursing Care AgencyTaxonomy code 251J00000X

License

HC3487 Issued in NC

Legal business name

NATIVE ANGELS HOMECARE AGENCY INC

Practice address

600 1/2 S Madison St
Whiteville, NC 28472-4130

Phone

(910) 642-2869

Fax

(910) 642-6146

NPI assigned

Oct 11, 2007

Last updated

Jun 13, 2008By the provider in NPPES

Organization subpart

Yes

Parent organization

NATIVE ANGELS HOMECARE AGENCY INCAs reported in NPPES

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

Authorized official

Name

Mrs. Bobbie Jacobs-Ghaffar

Title

Ceo

Phone

(910) 735-1541

Specialties & licenses 1

Addresses

Other names 1

• Native Angels Home Care Other name

Tax ID family

Native Angels Homecare Agency Inc3 organizations share this tax ID, including this one

Part of

Native Angels Homecare Agency Inc

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

• Native Angels Home Care Agency Inc

  • Personal Care Attendant
  • Elizabethtown, NC
  • NPI 1356530026
  NPD tax ID
• Native Angels Home Care Agency Inc

  dba Native Angels

  • Personal Care Attendant
  • Fayetteville, NC
  • NPI 1871771477
  NPD tax ID

Locations

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

• Native Angels Homecare Agency Inc.

  • Community Based Hospice Care Agency
  • Pembroke, NC
  • NPI 1063474740
  NPPES parent name

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

{
    "created_epoch": "1192060800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1213315200000",
    "number": "1457549750",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "201 E LIVERMORE DR",
            "city": "PEMBROKE",
            "state": "NC",
            "postal_code": "283727322",
            "telephone_number": "910-735-1541",
            "fax_number": "910-735-1550"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 1/2 S MADISON ST",
            "city": "WHITEVILLE",
            "state": "NC",
            "postal_code": "284724130",
            "telephone_number": "910-642-2869",
            "fax_number": "910-642-6146"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NATIVE ANGELS HOMECARE AGENCY INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "NATIVE ANGELS HOMECARE AGENCY INC",
        "enumeration_date": "2007-10-11",
        "last_updated": "2008-06-13",
        "status": "A",
        "authorized_official_last_name": "JACOBS-GHAFFAR",
        "authorized_official_first_name": "BOBBIE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "910-735-1541",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "251J00000X",
            "taxonomy_group": "",
            "desc": "Nursing Care",
            "state": "NC",
            "license": "HC3487",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Native Angels Home Care",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Tiffany Monique Mullins, LCMHC-A
• Joanne Caroline Murphy, PA-C
• Andrea J Nance, MED CCC-SLP
• National Mentor Healthcare, LLC (NC Mentor)
• National Mentor Healthcare, LLC (NC Mentor)
• Phillip Trey Nealey, PHARM.D
• Theresa Joan Nelson, FNP-C
• New Directions Group Care Management
• New Directions Group Care Management, LLC
• New Directions Home Health (New Directions Community Services)

• Nursing Care Agency in Whiteville, NC
• Providers in Whiteville, NC by specialty
• Nursing Care Agency in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 13, 2008; 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.