ANGEL STAR HOME HEALTH, INC. (NPI# 1114948031) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1114948031 |
| Entity Type | Organization |
| Organization Name | ANGEL STAR HOME HEALTH, INC. |
| Other Organization Name | ANGEL STAR HOME HEALTH,INC. |
| Practice Address |
5100 Reagan Dr Suite 15 Charlotte NC 28206-3190 |
| Mailing Address |
9816 Nottinghill Ln Charlotte NC 28269-5006 |
| Practice Telephone | 7045960162 |
| Practice Fax Number | 7045960869 |
| Mailing Telephone | 7045960162 |
| Mailing Fax Number | 7045960869 |
| Enumeration Date | 2006-07-23 |
| Last Update Date | 2009-06-29 |
| Authorized Official Name | MRS. VERONICA LAVON MCLENDON (VICE PRESIDENT OF OPERATIONS) |
| Authorized Official Telephone | 7045960162 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 374U00000X | Home Health Aide | Nursing Service Related Providers | ||
| N | 376K00000X | Nurse's Aide | Nursing Service Related Providers | ||
| N | 3747P1801X |
Technician Specialization: Personal Care Attendant |
Nursing Service Related Providers | ||
| N | 163WC1500X |
Registered Nurse Specialization: Community Health |
Nursing Service Providers | ||
| N | 163WH0200X |
Registered Nurse Specialization: Home Health |
Nursing Service Providers | ||
| N | 163WI0500X |
Registered Nurse Specialization: Infusion Therapy |
Nursing Service Providers | ||
| N | 251E00000X | Home Health | Agencies | ||
| N | 332B00000X | Durable Medical Equipment & Medical Supplies | 332B00000X | NC | Suppliers |
| Y | 163W00000X | Registered Nurse | Nursing Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NC | DME ID | 7704443 | 05 |
| NC | CAPS | 3408430 | 05 |
| NC | LICENSED CLINICAL SOCIAL | 6106549 | 05 |
| NC | OUTPATIENT MENTAL HEALTH | 6006020 | 05 |
| Other Name | Type Code |
|---|---|
| Angel Star Home Health,Inc. | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164676557 | Angel Star Home Health, Inc. | Community/Behavioral Health | 5100 Reagan Dr, Suite 15, Charlotte, NC 28206-3190 | 2008-11-11 |
| 1316198245 | Angel Star Home Health, Inc. | Counselor | 110 Scott Ave, Suite 12, High Point, NC 27262-7834 | 2008-10-09 |
| 1639320237 | Angel Star Home Health, Inc. | Counselor | 3600 N Duke St, Suite 103, Durham, NC 27704-1709 | 2008-10-01 |
| Street Address |
5100 REAGAN DR SUITE 15 |
| City | CHARLOTTE |
| State | NC |
| Zip Code | 28206-3190 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518100551 | Angel Star Home Health | Durable Medical Equipment & Medical Supplies | 5100 Reagan Dr, Suite 15, Charlotte, NC 28206-3190 | 2009-04-07 |
| 1063651198 | Angel Star Home Health Inc | Home Health | 5100 Reagan Dr, Suite 15, Charlotte, NC 28206-3190 | 2009-02-12 |
| 1164676557 | Angel Star Home Health, Inc. | Community/Behavioral Health | 5100 Reagan Dr, Suite 15, Charlotte, NC 28206-3190 | 2008-11-11 |
| 1467603068 | Angel Star Home Health, Inc | Counselor | 5100 Reagan Dr, Suite 15, Charlotte, NC 28206-3190 | 2008-10-01 |
| 1699946665 | Starmed Healthcare, Pllc | Nurse Practitioner | 5100 Reagan Dr, Ste. #, Charlotte, NC 28206-3190 | 2008-03-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861019150 | Novant Medical Group, Inc. | Family Medicine | 2701 Statesville Ave., Charlotte, NC 28206 | 2020-07-02 |
| 1609433291 | Life Interrupted Counseling Services | Counselor | 4045 N Tryon St Ste A, Charlotte, NC 28206 | 2019-05-20 |
| 1295141216 | Taqiyah Camyah Barber | Prosthetic/Orthotic Supplier | 3829 Perennial Terrace Dr, #g, Charlotte, NC 28206 | 2014-07-10 |
| 1386976033 | Olugboyega Remi Fisher | Community Health Worker | 1801 N.tryon Street, Suiteb114, Charlotte, NC 28206 | 2010-02-05 |
| 1821225699 | Alzenia Kelly Morris | Counselor | 1801 N Tryon Street Ste 339, Charlotte, NC 28206 | 2009-06-18 |
| 1942479936 | American Current Care of North Carolina PC | Clinic/Center | 2835 Jeff Adams Drive, Suite A, Charlotte, NC 28206 | 2008-02-25 |
| 1992823629 | Shari J Baum | Preventive Medicine | 2830 North I-85, Suite A and B, Charlotte, NC 28206 | 2007-03-27 |
| 1255479135 | Tameka Denise Jenkins | Counselor | 1600 Norris Ave., Charlotte, NC 28206 | 2007-02-02 |
| 1871655803 | Dwight Hollier | Counselor | 1801 North Tryon Street, Suite 309, Charlotte, NC 28206 | 2006-12-15 |
| 1093213621 | Mishelle L Lockerby | Counselor | 5108 Reagan Dr, Charlotte, NC 28206 | 2018-01-29 |
| Find all providers in zip 28206 | ||||
| Taxonomy Code | 163W00000X |
| Grouping | Nursing Service Providers |
| Classification | Registered Nurse |
| (1) A registered nurse is a person qualified by graduation from an accredited nursing school (depending upon schooling, a registered nurse may receive either a diploma from a hospital program, an associate degree in nursing (A.D.N.) or a Bachelor of Science degree in nursing (B.S.N.), who is licensed or certified by the state, and is practicing within the scope of that license or certification. R.N.’s assist patient in recovering and maintaining their physical or mental health. They assist physicians during treatments and examinations and administer medications. (2) A provider who is trained and educated in a formal nursing education program at an accredited school of nursing, passes a national certification examination, and is licensed by the state to practice nursing. The individual provides nursing services to patients or clients in areas such as health promotion, disease prevention, acute and chronic care and restoration and maintenance of health across the life span. |
| Notes: Sources: (2) American Nurses Association, American Nurses Credentialing Center, 1996 Certification Catalogue, and Rhea, Ott, and Shafritz, The Facts On File Dictionary of Health Care Management, New York: Facts On File Publications, 1988. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194323410 | Natasha Radine Montoya | Registered Nurse | 5859 Cambridge Bay Dr, Charlotte, NC 28269-6120 | 2020-10-09 |
| 1730797770 | Elite Clinical Resources | Registered Nurse | 6531 Dillard Ridge Dr, Charlotte, NC 28216-8845 | 2020-07-15 |
| 1558989012 | Shania Ashanti92 Danmola | Registered Nurse | 10103 Michael Crossing Dr, Charlotte, NC 28213-4354 | 2020-07-10 |
| 1629693460 | Alice Walter | Registered Nurse | 4333 Pemberton Dr, Charlotte, NC 28210-6863 | 2020-06-08 |
| 1922637347 | Katherine Fairey Reeves | Registered Nurse | 7638 Swinford Pl, Charlotte, NC 28270-1304 | 2020-04-07 |
| 1326674763 | Lindsay Thompson Munn | Registered Nurse | 1540 Garden Ter, Charlotte, NC 28203-6110 | 2020-03-17 |
| 1598399529 | Jordan Michele Fiola | Registered Nurse | 3015 Airlie St, Charlotte, NC 28205-3225 | 2020-02-28 |
| 1043855794 | Tasha Turner | Registered Nurse | 7616 Ridgefield Dr, Charlotte, NC 28269-9158 | 2019-11-16 |
| 1740849769 | Katrina Linette Blackwell | Registered Nurse | 6134 Gold Worthy Ct, Charlotte, NC 28212-6999 | 2019-06-12 |
| 1265091698 | Gayle L Smith | Registered Nurse | 321 W Third St, Charlotte, MI 48813-2175 | 2019-06-10 |
| Find all providers in CHARLOTTE | ||||
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| 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.