DIVINE ANGELS HOME CARE (NPI# 1174138564) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1174138564 |
| Entity Type | Organization |
| Organization Name | DIVINE ANGELS HOME CARE |
| Practice Address |
1201 Peachtree St Ne Bldg 400 Atlanta GA 30361-3507 |
| Practice Telephone | 4048709132 |
| Mailing Telephone | 4048709132 |
| Enumeration Date | 2020-09-11 |
| Last Update Date | 2020-09-11 |
| Authorized Official Name | MICHAEL BADGETT (OWNER) |
| Authorized Official Telephone | 4704695828 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251E00000X | Home Health | Agencies |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| GA | PERSONAL HOME CARE SERVICES | PHCP010874 | 01 |
| Street Address |
1201 PEACHTREE ST NE BLDG 400 |
| City | ATLANTA |
| State | GA |
| Zip Code | 30361-3507 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679697817 | Brenda Twyner Robinson | Social Worker | 1201 Peachtree Street, Suite 200, Atlanta, GA 30361 | 2007-03-16 |
| 1649214214 | Darren S Levine | Optometrist | 1197 Peachtree St Ne, Atlanta, GA 30361-3502 | 2006-06-15 |
| 1801190905 | Medicus Health Group LLC | General Practice | 1197 Peachtree St Ne, Suite 522, Atlanta, GA 30361-3502 | 2011-01-04 |
| 1205009669 | Intown Optics Inc | Optometrist | 1197 Peachtree St Ne, Ste 520, Atlanta, GA 30361-3502 | 2008-04-08 |
| 1750773115 | Denice Crowe Clark | Marriage & Family Therapist | 1201 Peachtree St, Suite 200, Atlanta, GA 30361-3503 | 2015-02-23 |
| 1083029706 | Altegra Health Connections, LLC | Nurse Practitioner | 1201 Peachtree St Ne, Atlanta, GA 30361-3503 | 2014-06-23 |
| 1801218755 | Kamyar Simian | Dentist | 1201 Peachtree St Ne, Building 400 - Suite 1515, Atlanta, GA 30361-3503 | 2014-01-13 |
| 1609136209 | Community Care Adolescent Adult Services, LLC | Community/Behavioral Health | 1201 Peachtree St Ne, 400 Colony Square, Ste 400, Atlanta, GA 30361-3503 | 2012-05-17 |
| 1235401423 | Long Term Care Nurse Practitioner Services, LLC | Nurse Practitioner | 1201 Peachtree St, 400 Colony Square, Suite 200, Atlanta, GA 30361-3503 | 2012-02-02 |
| 1790064053 | T.l.c.transportation.org | Non-emergency Medical Transport (VAN) | 1201 Peachtree St, 400, Atlanta, GA 30361-3503 | 2011-08-04 |
| Find all providers in zip 30361 | ||||
| Taxonomy Code | 251E00000X |
| Grouping | Agencies |
| Classification | Home Health |
| A public agency or private organization, or a subdivision of such an agency or organization, that is primarily engaged in providing skilled nursing services and other therapeutic services, such as physical therapy, speech-language pathology services, or occupational therapy, medical social services, and home health aide services. It has policies established by a professional group associated with the agency or organization (including at least one physician and one registered nurse) to govern the services and provides for supervision of such services by a physician or a registered nurse; maintains clinical records on all patients; is licensed in accordance with State or local law or is approved by the State or local licensing agency as meeting the licensing standards, where applicable; and meets other conditions found by the Secretary of Health and Human Services to be necessary for health and safety. |
| Notes: Source: CFR42 Chapter IV Part 484, http://www.access.gpo.gov/nara/cfr/waisidx_99/42cfr484_99.html [7/1/2007: definition added, source added] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073114286 | Sadiecare Health Services Incorporated | Home Health | 483 Holderness St Sw Unit B, Atlanta, GA 30310-1748 | 2020-11-04 |
| 1356941082 | Just Peachy Home Care LLC | Home Health | 550 Fairburn Rd Sw Ste B1, Atlanta, GA 30331-2016 | 2020-10-30 |
| 1588272041 | Baron Home Group LLC | Home Health | 1700 Withmere Way, Atlanta, GA 30338-2839 | 2020-07-21 |
| 1699383729 | Benevolent Home and Health LLC | Home Health | 290 Mlk Jr Dr Se Unit 4409, Atlanta, GA 30312-2540 | 2020-07-15 |
| 1487272324 | Providence Healthcare Services, Inc | Home Health | 1230 Peachtree St Ne Fl 19, Atlanta, GA 30309-3574 | 2020-07-07 |
| 1558985754 | Peoples House Atl 1 LLC | Home Health | 707 Park Ave Ne Apt 1380, Atlanta, GA 30326-3410 | 2020-06-03 |
| 1669092391 | Abide Infusions and Home Care | Home Health | 741 Piedmont Ave Ne Ste 130, Atlanta, GA 30308-1420 | 2020-04-22 |
| 1326677790 | Art of Care Home Health Care LLC | Home Health | 1155 Lavista Rd Ne Apt 1225, Atlanta, GA 30324-3748 | 2020-04-07 |
| 1396372363 | Lamar Agency | Home Health | 3040 Peachtree Rd Nw Unit 1010, Atlanta, GA 30305-2290 | 2020-03-26 |
| 1093355844 | Amarree Chapman | Home Health | 2000 Monroe Pl Ne Apt 7401, Atlanta, GA 30324-4985 | 2020-01-09 |
| Find all providers in ATLANTA | ||||
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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.