AMBASSADOR OF ANGELS INC. (NPI# 1730373416) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1730373416 |
| Entity Type | Organization |
| Organization Name | AMBASSADOR OF ANGELS INC. |
| Practice Address |
3782 Citation Dr Decatur GA 30034-2128 |
| Mailing Address |
1367 Highway 138 Sw Riverdale GA 30296-1403 |
| Practice Telephone | 7709097337 |
| Mailing Telephone | 7709097337 |
| Mailing Fax Number | 7709096211 |
| Enumeration Date | 2007-09-05 |
| Last Update Date | 2007-09-07 |
| Authorized Official Name | BRIAN OWENS (HEAD ADMINISTRATOR) |
| Authorized Official Telephone | 7709097337 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 310400000X | Assisted Living Facility | GA | Nursing & Custodial Care Facilities |
| Street Address |
3782 CITATION DR |
| City | DECATUR |
| State | GA |
| Zip Code | 30034-2128 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689289803 | Kalesha Uneek Presswood | Behavior Technician | 5361 Roswell Rd, Atlanta, GA 30034 | 2020-09-14 |
| 1447876768 | Rosemary Maines | Recreation Therapist | The Maines Group LLC Dba Maines Health and Wellness, 3461 Jessica Run, Decatur, GA 30034 | 2020-06-23 |
| 1437775764 | The Maines Group, LLC | Adult Companion | The Maines Group, LLC Dba Maines Health and Wellness, 3461 Jessica Run, Decatur, GA 30034 | 2020-06-23 |
| 1801351994 | Anthony E. Parrish, D.d.s., PC | Dentist | 3653 Flakes Mill Road, Suite E, Deactur, GA 30034 | 2019-02-04 |
| 1164916813 | Lenina O Chi-ukpai | Nurse Practitioner | 2942 Secretariat Ct, Decatur, GA 30034 | 2018-06-17 |
| 1154662765 | Zackery Kanel Thomas | Driver | 2782 Green Marsh Court, Decatur, GA 30034 | 2013-03-06 |
| 1033472642 | Lakeba Hibbler Williams | Counselor | 4147 Flat Shoals Pkwy, Decatur, GA 30034 | 2012-06-19 |
| 1164789632 | Foot Solutions of Georgia | Durable Medical Equipment & Medical Supplies | 3011 S Rainbow Dr, Suite 160, Decatur, GA 30034 | 2012-04-20 |
| 1699096172 | Wanda P Garrett | Social Worker | 3013 Rainbow Drive, Suite 112-e, South Dekalb Office Park, Decatur, GA 30034 | 2010-06-18 |
| 1245558022 | Teresa Behrend Fletcher | Counselor | 3915 Brookside Pkwy, Decatur, GA 30034 | 2010-05-04 |
| Find all providers in zip 30034 | ||||
| Taxonomy Code | 310400000X |
| Grouping | Nursing & Custodial Care Facilities |
| Classification | Assisted Living Facility |
| A facility providing supportive services to individuals who can function independently in most areas of activity, but need assistance and/or monitoring to assure safety and well being. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013381235 | Altrus | Assisted Living Facility | 3363 Luxembourg Cir, Decatur, GA 30034-5418 | 2015-11-27 |
| 1013274794 | Live Oak Management, L.p. | Assisted Living Facility | 300 E Devereaux St, Decatur, TX 76234-3033 | 2012-04-18 |
| 1003188913 | Evergreen Place Decatur, LLC | Assisted Living Facility | 4825 E Evergreen Court, Decatur, IL 62521 | 2012-02-08 |
| 1952638769 | Greater Works, Inc. | Assisted Living Facility | 2551 Rainshower Dr, Decatur, GA 30034-2164 | 2009-11-16 |
| 1316069099 | Eagle Ridge of Decatur, Lp | Assisted Living Facility | 875 W Mckinley Ave, Decatur, IL 62526-3287 | 2007-04-04 |
| 1497893879 | Avondale Health Services Inc. | Assisted Living Facility | 3508 Kensington Rd, Decatur, GA 30032-1328 | 2007-02-01 |
| 1184662017 | Morningside of Decatur, L.p. | Assisted Living Facility | 2115 Point Mallard Dr Se, Decatur, AL 35601-6765 | 2006-06-03 |
| 1972961415 | Live Oak Holdings, LLC | Assisted Living Facility | 300 E Devereaux St, Decatur, TX 76234-3033 | 2016-01-28 |
| 1740662402 | Avondale Health Services Inc | Assisted Living Facility | 3508 Kensington Rd, Decatur, GA 30032-1328 | 2015-06-18 |
| 1851600324 | Avondale Health Services Inc. | Assisted Living Facility | 3508 Kensington Rd, Decatur, GA 30032-1328 | 2010-10-01 |
| Find all providers in DECATUR | ||||
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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.