Angelo'S Care Home, Inc.

Primary specialty

Intellectual and/or Developmental Disabilities Residential Treatment FacilityTaxonomy code 320600000X

License

MHL-078-138 Issued in NC

Legal business name

ANGELO'S CARE HOME, INC.

Practice address

707 Union Chapel Rd
Pembroke, NC 28372-8689

Phone

(910) 521-1895

Fax

(910) 521-7220

NPI assigned

Dec 21, 2006

Organization subpart

No

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

Authorized official

Name

Cindy Locklear

Title

Director

Phone

(910) 521-1895

Specialties & licenses 12

Addresses

Tax ID family

Angelo'S Care Home Inc4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

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

• Angelo'S Care Home, Inc

  • Community/Behavioral Health Agency
  • Pembroke, NC
  • NPI 1053880021
  NPD tax ID
• Angelo'S Care Home, Inc

  • Professional Counselor
  • Maxton, NC
  • NPI 1790981512
  NPD tax ID
• Angelo'S Care Home, Inc.

  • Community/Behavioral Health Agency
  • Maxton, NC
  • NPI 1982800702
  NPD tax ID

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

{
    "created_epoch": "1166659200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1565827200000",
    "number": "1487718540",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10091 US HIGHWAY 74 W",
            "city": "MAXTON",
            "state": "NC",
            "postal_code": "283648936",
            "telephone_number": "910-521-1895",
            "fax_number": "910-521-7220"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "707 UNION CHAPEL RD",
            "city": "PEMBROKE",
            "state": "NC",
            "postal_code": "283728689",
            "telephone_number": "910-521-1895",
            "fax_number": "910-521-7220"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "10091 US Highway 74 W",
            "address_purpose": "LOCATION",
            "city": "Maxton",
            "state": "NC",
            "postal_code": "283648936",
            "country_code": "US",
            "telephone_number": "910-521-1895",
            "fax_number": "910-521-7220",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "9431 211 West",
            "address_purpose": "LOCATION",
            "city": "Red Springs",
            "state": "NC",
            "postal_code": "283770241",
            "country_code": "US",
            "telephone_number": "910-521-1895",
            "fax_number": "910-521-7220",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "ANGELO'S CARE HOME, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-21",
        "last_updated": "2019-08-15",
        "status": "A",
        "authorized_official_last_name": "LOCKLEAR",
        "authorized_official_first_name": "CINDY",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "910-521-1895"
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "NC",
            "license": "HC4768",
            "primary": false
        },
        {
            "code": "251J00000X",
            "taxonomy_group": "",
            "desc": "Nursing Care",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "NC",
            "license": "MHL-078-304",
            "primary": false
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": "NC",
            "license": "HC4768",
            "primary": false
        },
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "320600000X",
            "taxonomy_group": "",
            "desc": "Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": "NC",
            "license": "MHL-078-138",
            "primary": true
        },
        {
            "code": "320600000X",
            "taxonomy_group": "",
            "desc": "Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": "NC",
            "license": "MHL-078-275",
            "primary": false
        },
        {
            "code": "320700000X",
            "taxonomy_group": "",
            "desc": "Residential Treatment Facility, Physical Disabilities",
            "state": "NC",
            "license": "MHL-078-138",
            "primary": false
        },
        {
            "code": "385H00000X",
            "taxonomy_group": "",
            "desc": "Respite Care",
            "state": "NC",
            "license": "MHL-078-138",
            "primary": false
        },
        {
            "code": "385H00000X",
            "taxonomy_group": "",
            "desc": "Respite Care",
            "state": "NC",
            "license": "MHL-078-275",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tamim A Alsaedi, PA-C
• Amedisys Hospice, LLC
• Jenelle R Andrews
• Angel Family Practice
• Angelo'S Care Home, Inc
• Angels of Mercy Home and Health Care, LLC
• Arlee Arms Treatment Center
• Ascend Integrated Care
• Alleigha Tachelle Baldwin
• Ginger Baldwin, MSW, LCSWA

• All providers in Pembroke, NC
• Intellectual and/or Developmental Disabilities Residential Treatment Facility in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 15, 2019; 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.