Organization Active NPI

Angels Gate Healthcare LLC

  • Community Based Hospice Care Agency
  • Jonesboro, GA
National Provider Identifier
1518513100
Registry record updated Aug 10, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Based Hospice Care AgencyTaxonomy code 251G00000X
Legal business name
ANGELS GATE HEALTHCARE LLC
Practice address
217 Arrowhead Blvd Ste A2
Jonesboro, GA 30236-1169
Phone
(678) 510-6794
NPI assigned
Aug 10, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 10, 2019

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

Authorized official

Name
Brandee Temmis, RN
Title
Hospice Administrator
Phone
(702) 857-0839

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community Based Hospice Care Agency 251G00000X Primary

Addresses

Primary practice location

217 Arrowhead Blvd Ste A2
Jonesboro, GA 30236-1169

Mailing address

217 Arrowhead Blvd Ste A2
Jonesboro, GA 30236-1169
Phone (678) 510-6794

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1565395200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1565395200000",
    "number": "1518513100",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "217 ARROWHEAD BLVD STE A2",
            "city": "JONESBORO",
            "state": "GA",
            "postal_code": "302361169",
            "telephone_number": "678-510-6794"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "217 ARROWHEAD BLVD STE A2",
            "city": "JONESBORO",
            "state": "GA",
            "postal_code": "302361169",
            "telephone_number": "678-510-6794"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ANGELS GATE HEALTHCARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-08-10",
        "last_updated": "2019-08-10",
        "status": "A",
        "authorized_official_last_name": "TEMMIS",
        "authorized_official_first_name": "BRANDEE",
        "authorized_official_title_or_position": "HOSPICE ADMINISTRATOR",
        "authorized_official_telephone_number": "702-857-0839",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jonesboro, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 10, 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.