Active NPI
Granted Angels Inc
- In Home Supportive Care Agency
- Marianna, FL
National Provider Identifier
1922501394
On this page
Key facts
NPPES NPI Registry- Primary specialty
- In Home Supportive Care Agency
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 023322000 | Medicaid | FL |
National Provider Directory
National Provider DirectoryLocations
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.