Organization Active NPI

Granted Angels Inc

  • In Home Supportive Care Agency
  • Marianna, FL
National Provider Identifier
1922501394
Registry record updated May 23, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
Legal business name
GRANTED ANGELS INC
Practice address
2860 Highway 71 Ste B
Marianna, FL 32446-1893
Phone
(850) 209-4238
Fax
(888) 979-8559
NPI assigned
Mar 13, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 23, 2022

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

Authorized official

Name
Mrs. Brandy Grant
Title
Ceo
Phone
(850) 209-4238

Specialties & licenses 1

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

Addresses

Primary practice location

2860 Highway 71 Ste B
Marianna, FL 32446-1893

Mailing address

6783 Rocky LN
Grand Ridge, FL 32442-4219
Phone (850) 209-4238

Other identifiers 1

IdentifierTypeStateIssuer
023322000MedicaidFL

National Provider Directory

National Provider Directory

Locations

2860 Highway 71
Ste B
Marianna, FL 32446
Phone (850) 209-4238

NPI Registry JSON

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

{
    "created_epoch": "1520899200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1653264000000",
    "number": "1922501394",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6783 ROCKY LN",
            "city": "GRAND RIDGE",
            "state": "FL",
            "postal_code": "324424219",
            "telephone_number": "850-209-4238",
            "fax_number": "850-592-2604"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2860 HIGHWAY 71 STE B",
            "city": "MARIANNA",
            "state": "FL",
            "postal_code": "324461893",
            "telephone_number": "850-209-4238",
            "fax_number": "888-979-8559"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GRANTED ANGELS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-03-13",
        "last_updated": "2022-05-23",
        "certification_date": "2022-05-23",
        "status": "A",
        "authorized_official_last_name": "GRANT",
        "authorized_official_first_name": "BRANDY",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "850-209-4238",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "023322000",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Marianna, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 23, 2022; 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.