Angelo'S Care Home, Inc.
Organization Active NPI Community/Behavioral Health Agency · Maxton, NC
NPI 1982800702 · NPPES record last updated Aug 22, 2020
Key facts
- NPI
- 1982800702
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Community/Behavioral Health Agency 251S00000X
- Legal business name
- ANGELO'S CARE HOME, INC.
- Practice address
- 10091 US Highway 74 W
Maxton, NC 28364-8936 - Phone
- (910) 521-1895
- Fax
- (910) 521-7220
- NPI assigned
- Jun 27, 2007
- Organization subpart
- No
Authorized official
- Name
- Judy Cindy Locklear
- Title
- Administrator
- Phone
- (910) 521-1895
Corporate family (same tax ID) 3
National Provider Directory
- Tax ID family
- Angelo'S Care Home Inc
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community/Behavioral Health Agency | 251S00000X | Yes |
Addresses
Primary practice location
10091 US Highway 74 W
Maxton, NC 28364-8936
Mailing address
10091 US Highway 74 W
Maxton, NC 28364-8936
Phone (910) 521-1895
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 8301780B | Medicaid | NC |
Other providers in Maxton, NC
- A Primary Choice
- Angelo'S Care Home, Inc
- B & B Assisted Living #5
- B & B Assisted Living #7
- B & B Assisted Living 5
- B & B Assisted Living 6
- B & B Assisted Living 7
All providers in Maxton, NC · Community/Behavioral Health Agency in North Carolina
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 22, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.