Organization Active NPI

Circle of Angels Home Health Care

  • Home Health Agency
  • Spartanburg, SC
National Provider Identifier
1861780009
Registry record updated Aug 25, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
CIRCLE OF ANGELS HOME HEALTH CARE
Practice address
2375 E Main St Ste A302
Spartanburg, SC 29307-1432
Phone
(864) 579-3346
Fax
(919) 217-0932
NPI assigned
Jul 20, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 25, 2023

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

Authorized official

Name
Darrell Kenyatta Tennie
Title
Administrator
Phone
(919) 217-0933

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary
In Home Supportive Care Agency 253Z00000X

Addresses

Primary practice location

2375 E Main St Ste A302
Spartanburg, SC 29307-1432

Mailing address

3005 Village Park Dr
Suite 204B
Knightdale, NC 27545-7993
Phone (919) 217-0933

National Provider Directory

National Provider Directory

Locations

1199 US Highway 1
Ste 2
Rockledge, FL 32955

3005 Village Park Dr
Ste 204B
Knightdale, NC 27545
Phone (919) 217-0933

2375 E Main St
Ste A302
Spartanburg, SC 29307
Phone (864) 579-3346

NPI Registry JSON

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

{
    "created_epoch": "1311120000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1692921600000",
    "number": "1861780009",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3005 VILLAGE PARK DR",
            "address_2": "SUITE 204B",
            "city": "KNIGHTDALE",
            "state": "NC",
            "postal_code": "275457993",
            "telephone_number": "919-217-0933",
            "fax_number": "919-217-0932"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2375 E MAIN ST STE A302",
            "city": "SPARTANBURG",
            "state": "SC",
            "postal_code": "293071432",
            "telephone_number": "864-579-3346",
            "fax_number": "919-217-0932"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CIRCLE OF ANGELS HOME HEALTH CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-07-20",
        "last_updated": "2023-08-25",
        "certification_date": "2023-08-25",
        "status": "A",
        "authorized_official_last_name": "TENNIE",
        "authorized_official_first_name": "DARRELL",
        "authorized_official_middle_name": "KENYATTA",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "919-217-0933"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Spartanburg, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 25, 2023; 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.