Heart of an Angel Nursing Solutions, LLC

Primary specialty

In Home Supportive Care AgencyTaxonomy code 253Z00000X

Legal business name

HEART OF AN ANGEL NURSING SOLUTIONS, LLC

Practice address

612 Keswick Village CT NE
Conyers, GA 30013-6523

Phone

(678) 800-5091

Fax

(678) 609-0592

NPI assigned

Aug 5, 2020

Organization subpart

Yes

Parent organization

HEART OF AN ANGEL NURSING SOLUTIONS, LLCAs reported in NPPES

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

Authorized official

Name

Quatina Willis, LPNNPI 1538417886

Title

Administrator

Phone

(470) 914-9457

Specialties & licenses 2

Addresses

Part of

Heart of an Angel Nursing Solutions LLC

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Quatina Willis, LPN

  • Licensed Practical Nurse
  • Conyers, GA
  • NPI 1538417886
  NPD Authorized official

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

{
    "created_epoch": "1596585600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1679529600000",
    "number": "1497365340",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 80536",
            "city": "CONYERS",
            "state": "GA",
            "postal_code": "300138536",
            "telephone_number": "470-914-9457"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "612 KESWICK VILLAGE CT NE",
            "city": "CONYERS",
            "state": "GA",
            "postal_code": "300136523",
            "telephone_number": "678-800-5091",
            "fax_number": "678-609-0592"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEART OF AN ANGEL NURSING SOLUTIONS, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "HEART OF AN ANGEL NURSING SOLUTIONS, LLC",
        "enumeration_date": "2020-08-05",
        "last_updated": "2023-03-23",
        "certification_date": "2023-03-23",
        "status": "A",
        "authorized_official_last_name": "WILLIS",
        "authorized_official_first_name": "QUATINA",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "470-914-9457",
        "authorized_official_credential": "LPN"
    },
    "taxonomies": [
        {
            "code": "246RM2200X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Technician, Pathology, Medical Laboratory",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Healing 2 Wholeness Counseling LLC
• Healing Hearts Group, LLC
• Health Rehabilitation Professionals
• Healthcare Solutions of America LLC
• Healthyher Reproductive Care, LLC D/B/a the Healthy Woman
• Heart of Hearts Home Care
• Heart, Hope and Healing, LLC
• Hearts United Homecare LLC
• A. Fredrick Hedrick Jr., DMD
• Helpful Hearts Home Care

• In Home Supportive Care Agency in Conyers, GA
• Providers in Conyers, GA by specialty
• In Home Supportive Care Agency in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 23, 2023; 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.