Organization Active NPI

Angelic Home Care, Inc

  • In Home Supportive Care Agency
  • Concord, NC
National Provider Identifier
1831490192
Registry record updated Nov 3, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
License
HC4181 Issued in NC
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

Updated by the provider on Nov 3, 2010

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
HC4181OtherNCNC DHHS LICENSE FOR HOME CARE AGENCY

National Provider Directory

National Provider Directory

Locations

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.

Verify at the official NPI Registry.