Organization Active NPI

Angels Home Service Inc

  • Home Health Agency
  • Ellenwood, GA
National Provider Identifier
1538596283
Registry record updated Sep 26, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
ANGELS HOME SERVICE INC
Practice address
2524 Brittany Park LN
Ellenwood, GA 30294-6278
Phone
(678) 788-5956
Fax
(404) 795-1040
NPI assigned
Sep 26, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 26, 2013

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

Authorized official

Name
Donna Forbes
Title
VP
Phone
(678) 788-5946

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary

Addresses

Primary practice location

2524 Brittany Park LN
Ellenwood, GA 30294-6278

Mailing address

2524 Brittany Park LN
Ellenwood, GA 30294-6278
Phone (678) 788-5956

National Provider Directory

National Provider Directory
Tax ID family
Angels Home Service Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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": "1380153600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1380153600000",
    "number": "1538596283",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2524 BRITTANY PARK LN",
            "city": "ELLENWOOD",
            "state": "GA",
            "postal_code": "302946278",
            "telephone_number": "678-788-5956",
            "fax_number": "404-795-1040"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2524 BRITTANY PARK LN",
            "city": "ELLENWOOD",
            "state": "GA",
            "postal_code": "302946278",
            "telephone_number": "678-788-5956",
            "fax_number": "404-795-1040"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ANGELS HOME SERVICE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-09-26",
        "last_updated": "2013-09-26",
        "status": "A",
        "authorized_official_last_name": "FORBES",
        "authorized_official_first_name": "DONNA",
        "authorized_official_title_or_position": "VP",
        "authorized_official_telephone_number": "678-788-5946"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ellenwood, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 26, 2013; 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.