Angel Elite Service Inc

Primary specialty

In Home Supportive Care AgencyTaxonomy code 253Z00000X

Legal business name

ANGEL ELITE SERVICE INC

Practice address

12114 Barwen CT
Charlotte, NC 28262-1565

Phone

(704) 649-4711

Fax

(866) 502-3629

NPI assigned

Jan 15, 2022

Organization subpart

No

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

Authorized official

Name

Landrea Richardson, MBA MPA

Title

Agency Director

Phone

(704) 649-4711

Specialties & licenses 1

Addresses

Electronic endpoints 1

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

{
    "created_epoch": "1642204800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1642204800000",
    "number": "1841941408",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12114 BARWEN CT",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282621565",
            "telephone_number": "704-649-4711",
            "fax_number": "866-502-3629"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12114 BARWEN CT",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282621565",
            "telephone_number": "704-649-4711",
            "fax_number": "866-502-3629"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ANGEL ELITE SERVICE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-01-15",
        "last_updated": "2022-01-15",
        "certification_date": "2022-01-15",
        "status": "A",
        "authorized_official_last_name": "RICHARDSON",
        "authorized_official_first_name": "LANDREA",
        "authorized_official_title_or_position": "AGENCY DIRECTOR",
        "authorized_official_telephone_number": "704-649-4711",
        "authorized_official_credential": "MBA MPA"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "Help@AngelEliteServiceInc.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Help@AngelEliteServiceInc.com",
            "address_1": "12114 Barwen Ct",
            "city": "Charlotte",
            "state": "NC",
            "country_code": "US",
            "postal_code": "282621565",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 15, 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.