DISPATCHED ANGELS HOME CARE (NPI# 1447770482) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1447770482 |
Entity Type | Organization |
Organization Name | DISPATCHED ANGELS HOME CARE |
Practice Address |
619 El Prado Court Stone Mountain GA 30083 |
Mailing Address |
619 El Prado Ct Stone Mountain GA 30083-3822 |
Practice Telephone | (706) 940-8126 |
Practice Fax Number | 6787854112 |
Mailing Telephone | 7069408126 |
Mailing Fax Number | 6787854112 |
Enumeration Date | 2017-06-21 |
Last Update Date | 2017-06-21 |
Authorized Official Name | MS. ANGELA CRYSTAL DORSEY (OWNER) |
Authorized Official Telephone | 7069408126 |
Authorized Official Credential | CNA |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 253Z00000X | In Home Supportive Care | 044-R-1759 | GA | Agencies |
Entity Type | Entity Name | Entity Address |
---|---|---|
System for Award Management (SAM) Entities | DISPATCHED ANGELS HOME CARE, LLC | 619 El Prado Ct, Stone Mountain, GA 30083-3822 |
Street Address |
619 EL PRADO COURT |
City | STONE MOUNTAIN |
State | GA |
Zip Code | 30083 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1558830919 | Patriot Healthcare of Georgia, LLC | Family Medicine | 833 Hairston Road, Stone Mountain, GA 30083 | 2018-11-15 |
1710403431 | Trans Med Ems,llc | Ambulance | 4683 Redan Rd, Stone Mountain, GA 30083 | 2017-08-15 |
1396191086 | Suzanne Carter | Chore Provider | 1036 Allgood Rd, Stone Mountain, GA 30083 | 2016-05-11 |
1437520087 | Meaza Dada | Pharmacist | 1043 Thornwoode Lane, Stone Mountain, GA 30083 | 2015-10-08 |
1427436500 | Raeanne Elizabeth Gialanella | Occupational Therapist | 5839 Memorial Drive, Stone Mountain, GA 30083 | 2015-05-11 |
1265829824 | Latore Williams | Licensed Practical Nurse | 5300 Ridge Forest Drive, Stone Mountain, GA 30083 | 2015-04-22 |
1144625922 | Granville Theodore Freeman IIi | Counselor | 5000 Brittany Drive, Stone Mountain, GA 30083 | 2014-10-23 |
1588974208 | Terri R Collins | Counselor | 1020 Strap Hinge Trail, Stone Mountain, GA 30083 | 2010-10-15 |
1104064815 | Vistas Medical Center,pc | Clinic/Center | 5329 Memorial Dr Ste A, Stone Mountain, GEORGIA 30083 | 2009-02-03 |
1578720470 | Gary L Howard | Technician/Technologist | 5615 #g Memorial Drive, Stone Mountain, GA 30083 | 2008-05-19 |
Find all providers in zip 30083 |
Taxonomy Code | 253Z00000X |
Grouping | Agencies |
Classification | In Home Supportive Care |
An In Home Supportive Care Agency provides services in the patient’s home with the goal of enabling the patient to remain at home. The services provided may include personal care services such as hands-on assistance with activities of daily living (ADLs), e.g., eating, bathing, dressing, and bladder and bowel requirements; homemaker services and instrumental activities of daily living (IADLs), e.g., taking medications, shopping for groceries, laundry, housekeeping, and companionship; and/or supervision or cuing so that a person can perform tasks themselves. |
Notes: Source: National Uniform Claim Committee, 2008 [7/1/2008: new] |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1952968521 | Willene's Home Care Services Corporation | In Home Supportive Care | 1205 Mannbrook Dr, Stone Mountain, GA 30083-5316 | 2019-05-20 |
1316403124 | 24 Hours Home Care | In Home Supportive Care | 5405 Memorial Dr Ste A103, Stone Mountain, GA 30083-3259 | 2019-02-17 |
1710467923 | Stephanie Patrice Mccray | In Home Supportive Care | 1058 Millard Road, Stone Mountain, GA 30088 | 2018-08-16 |
1861906034 | Oasis Private Home Care Services Inc | In Home Supportive Care | 6340 Robins Nest, Stone Mountain, GA 30087-4976 | 2017-11-27 |
1669927380 | Namsara Homecare Services LLC | In Home Supportive Care | 5151 Vivid Dr, Stone Mountain, GA 30087-3427 | 2016-08-23 |
1447662432 | Concoh Health Care | In Home Supportive Care | 5883 Heritage Ln, Stone Mountain, GA 30087-1848 | 2014-05-23 |
1902229453 | Heavenly Homecare Services | In Home Supportive Care | 4980 Villager Ln, Stone Mountain, GA 30083-3698 | 2014-02-03 |
1649615402 | Jabezz LLC | In Home Supportive Care | 5667 Stonington Trace Pkwy, Stone Mountain, GA 30087-5218 | 2013-05-07 |
1053668392 | Smartway, LLC | In Home Supportive Care | 6927 Harbor Town Way, Stone Mountain, GA 30087-5468 | 2012-08-06 |
1972872661 | Comprehensive Vine Health Services | In Home Supportive Care | 1978 Scarbrough Dr, Stone Mountain, GA 30088-4422 | 2011-12-26 |
Find all providers in STONE MOUNTAIN |
City | STONE MOUNTAIN |
Zip Code | 30083 |
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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.