Annointed Angels Homecare LLC

Primary specialty

In Home Supportive Care AgencyTaxonomy code 253Z00000X

Legal business name

ANNOINTED ANGELS HOMECARE LLC

Practice address

223 Vann Ave
Defuniak Springs, FL 32433-3124

Phone

(678) 777-1917

Fax

(800) 214-0277

NPI assigned

Feb 27, 2023

Last updated

Feb 27, 2023By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Matrice BensonNPI 1346994530

Title

Owner

Phone

(678) 777-1917

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Matrice Benson

  • Adult Companion
  • Villa Rica, GA
  • NPI 1346994530
  NPD Authorized official

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

{
    "created_epoch": "1677456000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1677456000000",
    "number": "1992404131",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "112 DALTON DR",
            "city": "VILLA RICA",
            "state": "GA",
            "postal_code": "301807340",
            "telephone_number": "678-777-1917",
            "fax_number": "800-214-0277"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "223 VANN AVE",
            "city": "DEFUNIAK SPRINGS",
            "state": "FL",
            "postal_code": "324333124",
            "telephone_number": "678-777-1917",
            "fax_number": "800-214-0277"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ANNOINTED ANGELS HOMECARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-02-27",
        "last_updated": "2023-02-27",
        "certification_date": "2023-02-27",
        "status": "A",
        "authorized_official_last_name": "BENSON",
        "authorized_official_first_name": "MATRICE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "678-777-1917"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• In Home Supportive Care Agency in Defuniak Springs, FL
• Providers in Defuniak Springs, FL by specialty
• In Home Supportive Care Agency in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 27, 2023; 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.