NPIMap

Organization Active NPI

Angel Star Home Health

  • Durable Medical Equipment & Medical Supplies
  • Charlotte, NC
National Provider Identifier
1518100551
Registry record updated Apr 7, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Legal business name
ANGEL STAR HOME HEALTH
Practice address
5100 Reagan Dr
Suite 15
Charlotte, NC 28206-3190
Phone
(704) 596-0531
NPI assigned
Apr 7, 2009
Last updated
Apr 7, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 7, 2009

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

Authorized official

Name
Mrs. Veronica McClendon
Title
Ceo
Phone
(704) 596-0531

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X Primary

Addresses

Primary practice location

5100 Reagan Dr
Suite 15
Charlotte, NC 28206-3190

Mailing address

9816 Nottinghill LN
Charlotte, NC 28269-5006

Other identifiers 1

IdentifierTypeStateIssuer
7704443MedicaidNC

National Provider Directory

National Provider Directory
Tax ID family
Angel Star Home Health Inc5 organizations share this tax ID, including this one

Other organizations with this tax ID 4

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": "1239062400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1239062400000",
    "number": "1518100551",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9816 NOTTINGHILL LN",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282695006"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5100 REAGAN DR",
            "address_2": "SUITE 15",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282063190",
            "telephone_number": "704-596-0531"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ANGEL STAR HOME HEALTH",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-04-07",
        "last_updated": "2009-04-07",
        "status": "A",
        "authorized_official_last_name": "MCCLENDON",
        "authorized_official_first_name": "VERONICA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "704-596-0531",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7704443",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Charlotte, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 7, 2009; 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.