ANGEL HOME HEALTHCARE (NPI# 1437621851) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1437621851 |
| Entity Type | Organization |
| Organization Name | ANGEL HOME HEALTHCARE |
| Practice Address |
867 Commerce Dr Sw Ste 100 Conyers GA 30094-6604 |
| Practice Telephone | 7705447643 |
| Practice Fax Number | 7706794915 |
| Mailing Telephone | 7705447643 |
| Mailing Fax Number | 7706794915 |
| Enumeration Date | 2018-12-24 |
| Last Update Date | 2018-12-24 |
| Authorized Official Name | CASSANDRA E. CONTON (CEO) |
| Authorized Official Telephone | 6785233592 |
| Authorized Official Credential | PH.D |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 251E00000X | Home Health | Agencies | ||
| Y | 163WH0200X |
Registered Nurse Specialization: Home Health |
Nursing Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| GA | NPI | 1932344645 | 01 |
| Other Name | Type Code |
|---|---|
| Angel Home Healthcare | Doing Business As Name - Organization |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Virginia Business Entities | Angel Home Healthcare LLC | 324 Brisa Drive, Chesapeake, Virginia 23322 |
| Street Address |
867 COMMERCE DR SW STE 100 |
| City | CONYERS |
| State | GA |
| Zip Code | 30094-6604 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164029054 | Darlene Fletcher | Counselor | 827 St. Clair Dr., Conyers, GA 30094 | 2020-10-05 |
| 1194363366 | Clara A Matthews | Physician Assistant | 1930 Windsor Creek Drive Sw, Conyers, GA 30094 | 2019-12-18 |
| 1659838571 | Sensitive Home Care Agency Inc. | PACE Provider Organization | 2225 Morning Dew, Conyers, GA 30094 | 2019-02-27 |
| 1679097992 | Sheira Dennis | Case Management | 3828 Martingale Dr Se, Conyers, GA 30094 | 2017-07-28 |
| 1730571399 | Wellness and Trauma Recovery Center | Counselor | 1775 Parker Rd. Building C, Suite 210, Conyers, GA 30094 | 2015-02-19 |
| 1760870612 | Michael Terrell | Technician/Technologist | 806 Cambridge Creek Dr, Conyers, GA 30094 | 2014-12-30 |
| 1538567466 | Jennifer Angela Johnson | Registered Nurse | 2240 Wren Rd Se, Conyers, GA 30094 | 2014-12-09 |
| 1225445208 | Wanda Marcella Rainey-reed | Counselor | 1453 Klondike Rd Sw Ste D, Conyers, GA 30094 | 2014-07-22 |
| 1508155268 | Nicklaus Trent Rice | Obstetrics & Gynecology | 2750 Owens Dr, Conyers, GA 30094 | 2011-04-04 |
| 1720219660 | Candace Alexander | Dentist | 863 Flat Shoals Rd Se, Suite C #220, Conyers, GA 30094 | 2009-07-27 |
| Find all providers in zip 30094 | ||||
| Taxonomy Code | 163WH0200X |
| Grouping | Nursing Service Providers |
| Classification | Registered Nurse |
| Specialization | Home Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982205761 | Wee-care Georgia - Home Health-care | Registered Nurse | 3235 Satellite Blvd Ste 300, Duluth, GA 30096-8688 | 2020-11-06 |
| 1598372732 | Debbie Denise Lynch-berry | Registered Nurse | 475 Lory Ln, Grovetown, GA 30813-6104 | 2020-09-30 |
| 1922613611 | Chinyere Gloria Akpan | Registered Nurse | 147 Eagle Rock Dr, Acworth, GA 30101-1916 | 2020-09-10 |
| 1942812409 | Tehanya Michelle Peagler | Registered Nurse | 62 Saint Johns Rd, Hinesville, GA 31313-5837 | 2020-08-17 |
| 1215553649 | Kerry-ann Nicole Campbell | Registered Nurse | 1546 Riverview Rd, Monroe, GA 30655-4011 | 2020-06-22 |
| 1992327597 | Bridget Ronke Emeli-ba | Registered Nurse | 3334 Stone Mountain Hwy, Snellville, GA 30078-6840 | 2020-05-18 |
| 1407484322 | Domonque Louise Jakes | Registered Nurse | 4521 Saddle Bend Trl, Snellville, GA 30039-5984 | 2020-03-27 |
| 1740817717 | Ebenezer Ashitei | Registered Nurse | 3210 Christiana Cir Nw, Kennesaw, GA 30152-6985 | 2020-03-26 |
| 1285260778 | Global Wellness and Recovery LLC | Registered Nurse | 100 Blanket Pass, Covington, GA 30016-2319 | 2020-03-17 |
| 1336774256 | Qudus Olajire Ibiyemi | Registered Nurse | 4140 Woodcrest Ln, Powder Springs, GA 30127-2529 | 2020-03-11 |
| Find all providers with the same taxonomy | ||||
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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.