Active NPI
Angelic Home Care, Inc
- In Home Supportive Care Agency
- Concord, NC
National Provider Identifier
1831490192
On this page
Key facts
NPPES NPI Registry- Primary specialty
- In Home Supportive Care Agency
- License
- HC4181
- Legal business name
- ANGELIC HOME CARE, INC
- Practice address
- 325 McGill Ave NW
Suite 516
Concord, NC 28027-6181 - Phone
- (704) 262-3324
- NPI assigned
- Nov 3, 2010
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Ms. Mary Katherine Oconnor
- Title
- Agency Owner/President
- Phone
- (704) 262-3324
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| In Home Supportive Care Agency | 253Z00000X | HC4181 | NC | Primary |
Addresses
Primary practice location
325 McGill Ave NW
Suite 516
Concord, NC 28027-6181
Mailing address
325 McGill Ave NW
Suite 516
Concord, NC 28027-6181
Phone (704) 262-3324
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| HC4181 | Other | NC | NC DHHS LICENSE FOR HOME CARE AGENCY |
National Provider Directory
National Provider DirectoryLocations
325 McGill Ave NW
Ste 516
Concord, NC 28027
Phone (704) 262-3324
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1288742400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1288742400000",
"number": "1831490192",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "325 MCGILL AVE NW",
"address_2": "SUITE 516",
"city": "CONCORD",
"state": "NC",
"postal_code": "280276181",
"telephone_number": "704-262-3324"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "325 MCGILL AVE NW",
"address_2": "SUITE 516",
"city": "CONCORD",
"state": "NC",
"postal_code": "280276181",
"telephone_number": "704-262-3324"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ANGELIC HOME CARE, INC",
"organizational_subpart": "NO",
"enumeration_date": "2010-11-03",
"last_updated": "2010-11-03",
"status": "A",
"authorized_official_last_name": "OCONNOR",
"authorized_official_first_name": "MARY",
"authorized_official_middle_name": "KATHERINE",
"authorized_official_title_or_position": "AGENCY OWNER/PRESIDENT",
"authorized_official_telephone_number": "704-262-3324",
"authorized_official_name_prefix": "Ms."
},
"taxonomies": [
{
"code": "253Z00000X",
"taxonomy_group": "",
"desc": "In Home Supportive Care",
"state": "NC",
"license": "HC4181",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NC DHHS LICENSE FOR HOME CARE AGENCY",
"identifier": "HC4181",
"state": "NC"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Concord, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 3, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.