Active NPI
Angelic Care
Doing business as Angela Jackson DBA Angelic Care
- Personal Care Attendant
- Laurinburg, NC
National Provider Identifier
1467572545
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Personal Care Attendant
- License
- HC1911
- 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, 2020
- 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 Jackson
- Title
- Owner
- Phone
- (910) 277-2955
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3409238 | Medicaid | NC |
Other names 1
- Angela Jackson DBA Angelic Care
National Provider Directory
National Provider Directory- Tax ID family
- Angela Jackson Dba Angelic Care
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Personal Care Attendant
- Laurinburg, NC
- NPI 1467599225
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
- Aidan Alford
- Dawn Wanona Alonzo
- Alpha & Omega World Ministries
- Alpha Community Support Services, LLC
- Santana Nicole Ammons, FNP
- Angelic Care
- Latonya Armstrong, CNM
- William Ray Armstrong Jr., DC CCSP DIBCN
- Cagil Deniz Arslan, M.D.
- Ats of North Carolina, LLC (Laurinburg Comprehensive Treatment Center)
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.