IDELLA'S ANGELS


Address: 270 13th Ave Sw, Cairo, GA 39828-3423
Phone: 2292004887

IDELLA'S ANGELS (NPI# 1114549763) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1114549763
Entity Type Organization
Organization Name IDELLA'S ANGELS
Practice Address 270 13th Ave Sw
Cairo
GA 39828-3423
Practice Telephone 2292004887
Mailing Telephone 2292004887
Enumeration Date 2020-05-16
Last Update Date 2020-05-16
Authorized Official Name SHARON LAVERNE BENNETT (OWNER)
Authorized Official Telephone 2292004887
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 311ZA0620X Custodial Care Facility
Specialization: Adult Care Home
Nursing & Custodial Care Facilities

Office Location

Street Address 270 13TH AVE SW
City CAIRO
State GA
Zip Code 39828-3423

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1033621776 Morgan Charlotte Jackson Nurse Practitioner 700 14th Ave Nw, Cairo, GA 39828 2017-11-03
1861750457 Megan Baggett Pharmacist 496 Hwy 84 E, Cairo, GA 39828 2012-05-02
1477852176 Laurance W Neubauer Pharmacist 496 Highway 84 East, Cairo, GA 39828 2011-03-21
1952622466 Magictouchsouthernlivingllc Home Health 2039 Hwy 111 North, 2039, Cairo, GA 39828 2010-06-18
1306965330 Winston Burnum Brock Jr. Pharmacist 496 Hwy 84 East, Rite Aid, Cairo, GA 39828 2007-03-29
1578605911 Linda Inez Walden Family Medicine 91 Mlk Jr Ave Sw, Cairo, GA 39828 2007-02-13
1932252004 Cairo Family Medical Center, PC Family Medicine 91 Mlk Jr Ave S.w., Cairo, GA 39828 2007-01-19
1144399163 Hometown Homecare LLC Durable Medical Equipment & Medical Supplies 135 2nd Avenue Se, Cairo, GA 39828 2006-11-06
1366546582 Arlie Dewey Phelps Jr. Chiropractor 26 3rd Ave Nw, Cairo, GA 39828 2006-09-08
1346279676 Lonnie R Harrison Dentist 80 Alton Hall Rd, Cairo, GA 39828 2006-06-30
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Taxonomy Information

Taxonomy Code 311ZA0620X
Grouping Nursing & Custodial Care Facilities
Classification Custodial Care Facility
Specialization Adult Care Home

Taxonomy Definition

A custodial care facility providing supportive and personal care services to disabled and/or elderly individuals who cannot function independently in most areas of activity and need assistance and monitoring to enable them to remain in a home like environment.
Notes: [7/1/2003: new]

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1679174437 United Hands Support Services Custodial Care Facility 735 Ridge Rd, Canton, GA 30114-4170 2020-11-06
1679174429 Golden Peak Senior Living Corp Custodial Care Facility 411 Edmond St, Calhoun, GA 30701-5334 2020-11-06
1023615531 Lillian Womble Custodial Care Facility 3232 Union Church Road, Warthen, GA 31094 2020-10-07
1750995155 Jacqueline Dingle Custodial Care Facility 604 Sugarbush Cir, Savannah, GA 31406-4434 2020-09-02
1356962062 Brendas Love Personal Care Home LLC Custodial Care Facility 8239 Queens Dr, Jonesboro, GA 30238-2946 2020-05-04
1801421094 Lj's Personal Care Home, LLC Custodial Care Facility 415 E 18th St Sw, Rome, GA 30161-6544 2020-03-08
1356984041 Manuel Carl Mckenzie IIi Custodial Care Facility 4893 Candlewood Ln, Stone Mountain, GA 30088-1605 2019-10-24
1457904310 Renaissance Healthcare LLC Custodial Care Facility 419 Airport Rd, Griffin, GA 30224-4834 2019-07-19
1225697873 Tahirah Johnston Custodial Care Facility 1657 Hallmark Hills Dr, Griffin, GA 30223-8790 2019-06-07
1508420613 Rosa Amanda Hill Custodial Care Facility 1073 Davis Rd, Culloden, GA 31016-5843 2019-04-24
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Competitor

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City CAIRO
Zip Code 39828

Improve Information

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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