Active NPI
Holy Angels Services Inc.
- Intellectual Disabilities Intermediate Care Facility
- Belmont, NC
National Provider Identifier
1881861722
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Intellectual Disabilities Intermediate Care Facility
- Legal business name
- HOLY ANGELS SERVICES INC.
- Practice address
- 6600 E Wilkinson Blvd
Belmont, NC 28012-4707 - Phone
- (704) 829-4418
- NPI assigned
- May 9, 2008
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mrs. Shannon Wortman Prince, B.S.
- Title
- Vice President of Clinical Services
- Phone
- (704) 829-4418
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Intellectual Disabilities Intermediate Care Facility | 315P00000X | Primary | ||
| Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility | 320900000X | MHL-036-012 | NC |
Addresses
Primary practice location
6600 E Wilkinson Blvd
Belmont, NC 28012-4707
Mailing address
6600 E Wilkinson Blvd
Belmont, NC 28012-4707
Phone (704) 829-4418
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 7211943 | Medicaid | NC |
National Provider Directory
National Provider Directory- Tax ID family
- Holy Angels Services Inc
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Intellectual Disabilities Intermediate Care Facility
- Belmont, NC
- NPI 1477632446
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1210291200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1504137600000",
"number": "1881861722",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6600 E WILKINSON BLVD",
"city": "BELMONT",
"state": "NC",
"postal_code": "280124707",
"telephone_number": "704-829-4418"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6600 E WILKINSON BLVD",
"city": "BELMONT",
"state": "NC",
"postal_code": "280124707",
"telephone_number": "704-829-4418"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "HOLY ANGELS SERVICES INC.",
"organizational_subpart": "NO",
"enumeration_date": "2008-05-09",
"last_updated": "2017-08-31",
"status": "A",
"authorized_official_last_name": "PRINCE",
"authorized_official_first_name": "SHANNON",
"authorized_official_middle_name": "WORTMAN",
"authorized_official_title_or_position": "VICE PRESIDENT OF CLINICAL SERVICES",
"authorized_official_telephone_number": "704-829-4418",
"authorized_official_name_prefix": "Mrs.",
"authorized_official_credential": "B.S."
},
"taxonomies": [
{
"code": "315P00000X",
"taxonomy_group": "",
"desc": "Intermediate Care Facility, Intellectual Disabilities",
"state": null,
"license": null,
"primary": true
},
{
"code": "320900000X",
"taxonomy_group": "",
"desc": "Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
"state": "NC",
"license": "MHL-036-012",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "7211943",
"state": "NC"
}
],
"endpoints": [],
"other_names": []
}Other providers in Belmont, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 31, 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.