Katrina W Angel

Primary specialty

Adult Care Home FacilityTaxonomy code 311ZA0620X

Legal business name

KATRINA W ANGEL

Practice address

737 Sugar Hill Rd
Lawndale, NC 28090-9138

Phone

(704) 538-8680

NPI assigned

Aug 8, 2006

Organization subpart

No

Name

Katrina W Angel

Title

Owner

Phone

(704) 300-1782

Locations

• Morning Star Family Care Doing business as

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Mar 14, 2024.

{
    "created_epoch": "1154995200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1710374400000",
    "number": "1912917758",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 653",
            "city": "FALLSTON",
            "state": "NC",
            "postal_code": "280420653",
            "telephone_number": "704-538-8680"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "737 SUGAR HILL RD",
            "city": "LAWNDALE",
            "state": "NC",
            "postal_code": "280909138",
            "telephone_number": "704-538-8680"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KATRINA W ANGEL",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-08",
        "last_updated": "2024-03-14",
        "certification_date": "2024-03-14",
        "status": "A",
        "authorized_official_last_name": "ANGEL",
        "authorized_official_first_name": "KATRINA",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "704-300-1782"
    },
    "taxonomies": [
        {
            "code": "311ZA0620X",
            "taxonomy_group": "",
            "desc": "Custodial Care Facility, Adult Care Home",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7802221",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Morning Star Family Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 14, 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.