NPIMap

Organization Active NPI

Affectionate Angels Healthcare Inc

  • Nursing Care Agency
  • Grayson, GA
National Provider Identifier
1902646565
Registry record updated May 30, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nursing Care AgencyTaxonomy code 251J00000X
Legal business name
AFFECTIONATE ANGELS HEALTHCARE INC
Practice address
1636 Grassy Hill CT
Grayson, GA 30017-4302
Phone
(774) 208-3004
NPI assigned
May 30, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 30, 2024

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

Authorized official

Name
Sheriff KrakuNPI 1013254473
Title
Owner/Administrator
Phone
(774) 208-3004

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nursing Care Agency 251J00000X Primary

Addresses

Primary practice location

1636 Grassy Hill CT
Grayson, GA 30017-4302

Mailing address

1636 Grassy Hill CT
Grayson, GA 30017-4302
Phone (774) 208-3004

National Provider Directory

National Provider Directory

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1717027200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1717027200000",
    "number": "1902646565",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1636 GRASSY HILL CT",
            "city": "GRAYSON",
            "state": "GA",
            "postal_code": "300174302",
            "telephone_number": "774-208-3004"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1636 GRASSY HILL CT",
            "city": "GRAYSON",
            "state": "GA",
            "postal_code": "300174302",
            "telephone_number": "774-208-3004"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AFFECTIONATE ANGELS HEALTHCARE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-05-30",
        "last_updated": "2024-05-30",
        "certification_date": "2024-05-30",
        "status": "A",
        "authorized_official_last_name": "KRAKU",
        "authorized_official_first_name": "SHERIFF",
        "authorized_official_title_or_position": "OWNER/ADMINISTRATOR",
        "authorized_official_telephone_number": "774-208-3004"
    },
    "taxonomies": [
        {
            "code": "251J00000X",
            "taxonomy_group": "",
            "desc": "Nursing Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Grayson, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 30, 2024; 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.