Active NPI
Angel'S Landing Healthcare Services, Inc.
- Home Health Agency
- Conyers, GA
National Provider Identifier
1902154693
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Agency
- License
- 122-R-1058
- Legal business name
- ANGEL'S LANDING HEALTHCARE SERVICES, INC.
- Practice address
- 1631 Smyrna Rd SW
Conyers, GA 30094-6156 - Phone
- (770) 922-6293
- NPI assigned
- Aug 28, 2012
- Organization subpart
- No
Authorized official
NPPES NPI Registry- Name
- Mrs. Cidia Alysia Awyie
- Title
- Registered Nurse
- Phone
- (404) 989-9171
National Provider Directory
National Provider DirectorySpecialties & licenses 1
NPPES NPI Registry| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Agency | 251E00000X | 122-R-1058 | GA | Primary |
Addresses
NPPES NPI RegistryPrimary practice location
1631 Smyrna Rd SW
Conyers, GA 30094-6156
Mailing address
1631 Smyrna Rd SW
Conyers, GA 30094-6156
Phone (404) 645-0164
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Aug 28, 2012.
{
"created_epoch": "1346112000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1346112000000",
"number": "1902154693",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1631 SMYRNA RD SW",
"city": "CONYERS",
"state": "GA",
"postal_code": "300946156",
"telephone_number": "404-645-0164"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1631 SMYRNA RD SW",
"city": "CONYERS",
"state": "GA",
"postal_code": "300946156",
"telephone_number": "770-922-6293"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ANGEL'S LANDING HEALTHCARE SERVICES, INC.",
"organizational_subpart": "NO",
"enumeration_date": "2012-08-28",
"last_updated": "2012-08-28",
"status": "A",
"authorized_official_last_name": "AWYIE",
"authorized_official_first_name": "CIDIA",
"authorized_official_middle_name": "ALYSIA",
"authorized_official_title_or_position": "REGISTERED NURSE",
"authorized_official_telephone_number": "404-989-9171",
"authorized_official_name_prefix": "Mrs."
},
"taxonomies": [
{
"code": "251E00000X",
"taxonomy_group": "",
"desc": "Home Health",
"state": "GA",
"license": "122-R-1058",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Conyers, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 28, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.