Organization Active NPI

Angels Care Home Health Agency, LLC

  • In Home Supportive Care Agency
  • Peachtree Corners, GA
National Provider Identifier
1902615958
Registry record updated Jan 4, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
Legal business name
ANGELS CARE HOME HEALTH AGENCY, LLC
Practice address
4028 Holcomb Bridge Rd Ste 150
Peachtree Corners, GA 30092-4657
Phone
(786) 859-7404
NPI assigned
Jan 4, 2025
Last updated
Jan 4, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 4, 2025

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

Authorized official

Name
Luceny Florveus
Title
Administrator
Phone
(786) 859-7404

Specialties & licenses 1

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

Addresses

Primary practice location

4028 Holcomb Bridge Rd Ste 150
Peachtree Corners, GA 30092-4657

Mailing address

4028 Holcomb Bridge Rd Ste 150
Peachtree Cor, GA 30092-4657
Phone (786) 859-7404

National Provider Directory

National Provider Directory

Locations

4028 Holcomb Bridge Rd
Ste 150
Peachtree Corners, GA 30092
Phone (786) 859-7404

NPI Registry JSON

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

{
    "created_epoch": "1735948800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1735948800000",
    "number": "1902615958",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4028 HOLCOMB BRIDGE RD STE 150",
            "city": "PEACHTREE COR",
            "state": "GA",
            "postal_code": "300924657",
            "telephone_number": "786-859-7404"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4028 HOLCOMB BRIDGE RD STE 150",
            "city": "PEACHTREE CORNERS",
            "state": "GA",
            "postal_code": "300924657",
            "telephone_number": "786-859-7404"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ANGELS CARE HOME HEALTH AGENCY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-01-04",
        "last_updated": "2025-01-04",
        "certification_date": "2025-01-03",
        "status": "A",
        "authorized_official_last_name": "FLORVEUS",
        "authorized_official_first_name": "LUCENY",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "786-859-7404"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Peachtree Corners, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 4, 2025; 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.