Organization Active NPI

Angelic Care

Doing business as Angela Jackson DBA Angelic Care

  • Personal Care Attendant
  • Laurinburg, NC
National Provider Identifier
1467572545
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Personal Care AttendantTaxonomy code 3747P1801X
License
HC1911 Issued in NC
Legal business name
ANGELIC CARE
Doing business as
Angela Jackson DBA Angelic Care
Practice address
910 S Main St
Laurinburg, NC 28352-4737
Phone
(910) 277-2955
NPI assigned
Mar 30, 2007
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Ms. Angela Jackson
Title
Owner
Phone
(910) 277-2955

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Personal Care Attendant 3747P1801X HC1911 NC Primary

Addresses

Primary practice location

910 S Main St
Laurinburg, NC 28352-4737

Mailing address

PO Box 1722
Laurinburg, NC 28353-1722
Phone (910) 277-2955

Other identifiers 1

IdentifierTypeStateIssuer
3409238MedicaidNC

Other names 1

  • Angela Jackson DBA Angelic Care Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Angela Jackson Dba Angelic Care2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

NPI Registry JSON

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

{
    "created_epoch": "1175212800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1467572545",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1722",
            "city": "LAURINBURG",
            "state": "NC",
            "postal_code": "283531722",
            "telephone_number": "910-277-2955"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "910 S MAIN ST",
            "city": "LAURINBURG",
            "state": "NC",
            "postal_code": "283524737",
            "telephone_number": "910-277-2955"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ANGELIC CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-30",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "JACKSON",
        "authorized_official_first_name": "ANGELA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "910-277-2955",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "3747P1801X",
            "taxonomy_group": "",
            "desc": "Technician, Personal Care Attendant",
            "state": "NC",
            "license": "HC1911",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3409238",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Angela Jackson DBA Angelic Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Laurinburg, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.