Elite Care Angels Inc

Primary specialty

Pediatric Skilled Nursing FacilityTaxonomy code 3140N1450X

License

CN0030021523 Issued in GA

Legal business name

ELITE CARE ANGELS INC

Doing business as

E C A in home care

Practice address

571 Pennylake LN
Stone Mountain, GA 30087-5769

Phone

(404) 462-8363

Fax

(404) 474-4784

NPI assigned

Jun 26, 2013

Last updated

Jun 26, 2013By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mrs. Sandra Lee Brathwaite, 4044628363

Title

President

Phone

(404) 462-8363

Specialties & licenses 1

Addresses

Other names 1

• E C A in home care Doing business as

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

{
    "created_epoch": "1372204800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1372204800000",
    "number": "1568802239",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "571 PENNYLAKE LN",
            "city": "STONE MOUNTAIN",
            "state": "GA",
            "postal_code": "300875769",
            "telephone_number": "404-462-8363",
            "fax_number": "404-474-4784"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "571 PENNYLAKE LN",
            "city": "STONE MOUNTAIN",
            "state": "GA",
            "postal_code": "300875769",
            "telephone_number": "404-462-8363",
            "fax_number": "404-474-4784"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELITE CARE ANGELS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-06-26",
        "last_updated": "2013-06-26",
        "status": "A",
        "authorized_official_last_name": "BRATHWAITE",
        "authorized_official_first_name": "SANDRA",
        "authorized_official_middle_name": "LEE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "404-462-8363",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "4044628363"
    },
    "taxonomies": [
        {
            "code": "3140N1450X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility, Nursing Care, Pediatric",
            "state": "GA",
            "license": "CN0030021523",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "E C A in home care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Pediatric Skilled Nursing Facility in Stone Mountain, GA
• Providers in Stone Mountain, GA by specialty
• Pediatric Skilled Nursing Facility in Georgia

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