Organization Active NPI

Angels Dome Home Healthcare Inc

  • In Home Supportive Care Agency
  • Greenville, NC
National Provider Identifier
1649167032
Registry record updated Jun 19, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
Legal business name
ANGELS DOME HOME HEALTHCARE INC
Practice address
211 S Jarvis St Ste 104
Greenville, NC 27858-2052
Phone
(919) 349-2718
NPI assigned
Jun 19, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 19, 2025

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

Authorized official

Name
Kelechi O BasseyNPI 1245126663
Title
Owner
Phone
(919) 349-2718

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
In Home Supportive Care Agency 253Z00000X Primary

Addresses

Primary practice location

211 S Jarvis St Ste 104
Greenville, NC 27858-2052

Mailing address

8386 Six Forks Rd Ste 101
Raleigh, NC 27615-5088
Phone (872) 235-7194

National Provider Directory

National Provider Directory

Locations

211 S Jarvis St
Ste 104
Greenville, NC 27858
Phone (919) 349-2718

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1750291200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1750291200000",
    "number": "1649167032",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8386 SIX FORKS RD STE 101",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276155088",
            "telephone_number": "872-235-7194"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "211 S JARVIS ST STE 104",
            "city": "GREENVILLE",
            "state": "NC",
            "postal_code": "278582052",
            "telephone_number": "919-349-2718"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ANGELS DOME HOME HEALTHCARE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-06-19",
        "last_updated": "2025-06-19",
        "certification_date": "2025-06-19",
        "status": "A",
        "authorized_official_last_name": "BASSEY",
        "authorized_official_first_name": "KELECHI",
        "authorized_official_middle_name": "O",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "919-349-2718"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Greenville, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 19, 2025; 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.