Active NPI
Angel Heart Hospice and Palliative Care
- Community Based Hospice Care Agency
- Atlanta, GA
National Provider Identifier
1841869302
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community Based Hospice Care Agency
- Legal business name
- ANGEL HEART HOSPICE AND PALLIATIVE CARE
- Practice address
- 2302 Parklake Dr NE Ste 568
Atlanta, GA 30345-2896 - Phone
- (470) 381-2983
- NPI assigned
- Jun 21, 2021
- Last updated
- Jun 6, 2022
- Organization subpart
- Yes
- Parent organization
- ANGEL HEART HOSPICE AND PALLIATIVE CARE
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dwelver Webb
- Title
- Administrator
- Phone
- (678) 281-5106
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community Based Hospice Care Agency | 251G00000X | NU | Primary |
Addresses
Primary practice location
2302 Parklake Dr NE Ste 568
Atlanta, GA 30345-2896
Mailing address
2302 Parklake Dr NE Ste 568
Atlanta, GA 30345-2896
Phone (470) 381-2983
Other names 1
- Angel Heart Home Health
National Provider Directory
National Provider Directory- Part of
- Angel Heart Hospice and Palliative Care
Ownership & related parties
Parent organization (reported in NPPES) 1
This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.
-
- Community Based Hospice Care Agency
- Atlanta, GA
- NPI 1396322640
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1624233600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1654473600000",
"number": "1841869302",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2302 PARKLAKE DR NE STE 568",
"city": "ATLANTA",
"state": "GA",
"postal_code": "303452896",
"telephone_number": "470-381-2983"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2302 PARKLAKE DR NE STE 568",
"city": "ATLANTA",
"state": "GA",
"postal_code": "303452896",
"telephone_number": "470-381-2983"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ANGEL HEART HOSPICE AND PALLIATIVE CARE",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "ANGEL HEART HOSPICE AND PALLIATIVE CARE",
"enumeration_date": "2021-06-21",
"last_updated": "2022-06-06",
"certification_date": "2022-06-06",
"status": "A",
"authorized_official_last_name": "WEBB",
"authorized_official_first_name": "DWELVER",
"authorized_official_title_or_position": "ADMINISTRATOR",
"authorized_official_telephone_number": "678-281-5106"
},
"taxonomies": [
{
"code": "251G00000X",
"taxonomy_group": "",
"desc": "Hospice Care, Community Based",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Angel Heart Home Health",
"code": "4",
"type": "Former Legal Business Name"
},
{
"organization_name": "Angel Heart Home Health",
"code": "4",
"type": "Former Legal Business Name"
}
]
}Other providers in Atlanta, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 6, 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.