ELITE CARE ANGELS INC (NPI# 1568802239) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1568802239 |
| Entity Type | Organization |
| Organization Name | ELITE CARE ANGELS INC |
| Other Organization Name | E C A IN HOME CARE |
| Practice Address |
571 Pennylake Ln Stone Mountain GA 30087-5769 |
| Practice Telephone | 4044628363 |
| Practice Fax Number | 4044744784 |
| Mailing Telephone | 4044628363 |
| Mailing Fax Number | 4044744784 |
| Enumeration Date | 2013-06-26 |
| Last Update Date | 2013-06-26 |
| Authorized Official Name | MRS. SANDRA LEE BRATHWAITE (PRESIDENT) |
| Authorized Official Telephone | 4044628363 |
| Authorized Official Credential | 4044628363 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 3140N1450X |
Skilled Nursing Facility Specialization: Nursing Care, Pediatric |
CN0030021523 | GA | Nursing & Custodial Care Facilities |
| Other Name | Type Code |
|---|---|
| E C A in home care | Doing Business As Name - Organization |
| Street Address |
571 PENNYLAKE LN |
| City | STONE MOUNTAIN |
| State | GA |
| Zip Code | 30087-5769 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477176394 | Optimal Choice Telehealth | General Practice | 1227 Rockbidge Rd Sw, Ste 208-354, Stone Mountain, GA 30087 | 2020-05-27 |
| 1245882943 | Lynell Williams | Counselor | 505 Lilburn-stone Mountain Road, Suite 235, Stone Mountain, GA 30087 | 2019-07-12 |
| 1003302688 | Mark Andrew Stevens | Physical Therapist | 1227 Rockbridge Rd Ste 402, Stone Mountain, GA 30087 | 2018-07-06 |
| 1154816825 | Tuan Minh Khong | Physician Assistant | 6301 Southland Rdg, Stone Mountain, GA 30087 | 2018-06-26 |
| 1215429881 | Stephanie Martin | Nurse Practitioner | 2720 S Rockbridge Rd, Stone Mountain, GA 30087 | 2018-05-30 |
| 1578979381 | Edmund Thomas Jr. | Dentist | 2536 Rockbridge Rd Ste 103, Stone Mountain, GA 30087 | 2014-07-02 |
| 1790027688 | Robert Fanning Eaves Jr. | General Practice | 5394 Leatherstocking Lane, Stone Mountain, GA 30087 | 2013-03-19 |
| 1609128917 | Mary Marlene Muse | Lactation Consultant, Non-RN | 510 Navarre Drive, Stone Mountain, GA 30087 | 2012-10-10 |
| 1457680704 | Cleo Evans | Counselor | 5638 Manassas Run, Stone Mountain, GA 30087 | 2009-12-16 |
| 1932348521 | Lawrence Randy Sheber | Dentist | 5500-a Lilburn Stone Mountain Road, Stone Mountain, GA 30087 | 2009-02-05 |
| Find all providers in zip 30087 | ||||
| Taxonomy Code | 3140N1450X |
| Grouping | Nursing & Custodial Care Facilities |
| Classification | Skilled Nursing Facility |
| Specialization | Nursing Care, Pediatric |
| A nursing care facility designed and staffed for the provision of nursing care and appropriate educational and habilitative/rehabilitative services to children with multiple, complex or profound disabilities that can not be cared for in a less restrictive environment. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447731484 | Shaydrea L Chapman | Skilled Nursing Facility | 337 Martin Dr, Jonesboro, GA 30238-5764 | 2018-08-28 |
| 1598253684 | Comfort Community Center, LLC | Skilled Nursing Facility | 2440 Sandy Plains Road, Blvd 21, Suite 100, Marietta, GA 30066 | 2018-04-25 |
| 1306399936 | Dickson Osanu | Skilled Nursing Facility | 4405 Mall Blvd Ste 315, Union City, GA 30291-2070 | 2016-08-01 |
| 1053732842 | Mercy's Quality Home Care, LLC300562457 | Skilled Nursing Facility | 120 Northberry St., Suite 101, Stockbridge, GA 30281-1093 | 2013-12-20 |
| 1841575354 | Latoya Winston | Skilled Nursing Facility | 3253 Diamond Blf, Union City, GA 30291 | 2011-10-15 |
| 1235379405 | Dc Enterprise | Skilled Nursing Facility | 285 Wild Iris Ln, Clarkesville, GA 30523-1849 | 2009-03-02 |
| 1396900247 | Childrens Healthcare of Atlanta | Skilled Nursing Facility | 494 Rising Sun Path, Lawrenceville, GA 30043-3169 | 2008-07-21 |
| 1558545665 | Regina Nateya Cooks | Skilled Nursing Facility | 4940 Peachtree Industrial Blvd, 310, Norcross, GA 30071-1599 | 2007-12-26 |
| 1083796106 | Ckcg Healthcare Services,inc | Skilled Nursing Facility | 5995 Oakbrook Pkwy, Suite -b, Norcross, GA 30093 | 2006-10-19 |
| 1003845967 | The Nathaniel Watson, Jr. Memorial Foundation, Inc | Skilled Nursing Facility | 506 Calgary Glen Drive Sw, Austell, GA 30168-7284 | 2006-07-02 |
| Find all providers with the same taxonomy | ||||
| City | STONE MOUNTAIN |
| Zip Code | 30087 |
Please comment or provide details below to improve the information on ELITE CARE ANGELS INC.
| 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.