Organization Active NPI

Angel'S Landing Healthcare Services, Inc.

  • Home Health Agency
  • Conyers, GA
National Provider Identifier
1902154693
Registry record updated Aug 28, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
122-R-1058 Issued in GA
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 Directory

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X 122-R-1058 GA Primary

Addresses

NPPES NPI Registry

Primary 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.

Verify at the official NPI Registry.