Angel Private Duty Homecare, LLC

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

License

033R1625 Issued in GA

Legal business name

ANGEL PRIVATE DUTY HOMECARE, LLC

Practice address

160 Clairemont Ave Ste 200
Decatur, GA 30030-2546

Phone

(678) 954-5717

Fax

(678) 954-5801

NPI assigned

Nov 3, 2016

Organization subpart

No

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

Authorized official

Name

Shauntai Greer

Title

Adminstrator

Phone

(901) 857-8143

Specialties & licenses 3

Addresses

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

{
    "created_epoch": "1478131200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1483574400000",
    "number": "1851843098",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "160 CLAIREMONT AVE STE 200",
            "city": "DECATUR",
            "state": "GA",
            "postal_code": "300302546",
            "telephone_number": "678-954-5717",
            "fax_number": "678-954-5801"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "160 CLAIREMONT AVE STE 200",
            "city": "DECATUR",
            "state": "GA",
            "postal_code": "300302546",
            "telephone_number": "678-954-5717",
            "fax_number": "678-954-5801"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ANGEL PRIVATE DUTY HOMECARE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-11-03",
        "last_updated": "2017-01-05",
        "status": "A",
        "authorized_official_last_name": "GREER",
        "authorized_official_first_name": "SHAUNTAI",
        "authorized_official_title_or_position": "ADMINSTRATOR",
        "authorized_official_telephone_number": "901-857-8143"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "GA",
            "license": "033R1625",
            "primary": true
        },
        {
            "code": "251J00000X",
            "taxonomy_group": "",
            "desc": "Nursing Care",
            "state": "GA",
            "license": "033R1625",
            "primary": false
        },
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": "GA",
            "license": "033R1625",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Home Health Agency in Decatur, GA
• Providers in Decatur, GA by specialty
• Home Health Agency in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 5, 2017; 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.