Earthly Angels Home Care LLC

Primary specialty

In Home Supportive Care AgencyTaxonomy code 253Z00000X

Legal business name

EARTHLY ANGELS HOME CARE LLC

Practice address

625 E 2ND Ave Ste 1
Gastonia, NC 28054-0470

Phone

(980) 888-0171

Fax

(704) 327-5856

NPI assigned

Aug 24, 2021

Organization subpart

No

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

Authorized official

Name

Anita Hamrick

Title

Administrator

Phone

(704) 923-4719

Specialties & licenses 1

Addresses

Other identifiers 1

Tax ID family

Earthly Angels Home Care LLC2 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.

• Earthly Angels Home Care LLC

  • Home Health Agency
  • Gastonia, NC
  • NPI 1316661077
  NPD tax ID

Locations

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

{
    "created_epoch": "1629763200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1664236800000",
    "number": "1609543917",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3210 HENDRICKS CHAPEL LN",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282162738",
            "telephone_number": "704-923-4719"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "625 E 2ND AVE STE 1",
            "city": "GASTONIA",
            "state": "NC",
            "postal_code": "280540470",
            "telephone_number": "980-888-0171",
            "fax_number": "704-327-5856"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EARTHLY ANGELS HOME CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-08-24",
        "last_updated": "2022-09-27",
        "certification_date": "2022-09-27",
        "status": "A",
        "authorized_official_last_name": "HAMRICK",
        "authorized_official_first_name": "ANITA",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "704-923-4719"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1609543917",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Zachary Yates Eaker, PA-C
• Maureen S Earl, CRNA
• Amber Earle, LPC
• Queen Earth
• Earthly Angels Home Care LLC
• Saumya Mariam Easaw, MD
• East Coast Home Care, LLC
• Amy Derrick East, PT
• Easter Seals Ucp North Carolina & Virginia
• Samantha Lynn Easters, LCSW-A

• In Home Supportive Care Agency in Gastonia, NC
• Providers in Gastonia, NC by specialty
• In Home Supportive Care Agency in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 27, 2022; 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.