SPECIAL ANGELS (NPI# 1891836193) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1891836193 |
| Entity Type | Organization |
| Organization Name | SPECIAL ANGELS |
| Practice Address |
3738 Cedar Hill Dr Fayetteville NC 28312-9612 |
| Practice Telephone | 9104833585 |
| Practice Fax Number | 9104265278 |
| Mailing Telephone | 9104833585 |
| Mailing Fax Number | 9104265278 |
| Enumeration Date | 2007-02-09 |
| Last Update Date | 2008-07-29 |
| Authorized Official Name | MS. DARLENE RUBENSTAHL (ADMINISTRATOR) |
| Authorized Official Telephone | 9104833585 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 320900000X | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | Residential Treatment Facilities |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| New York State Corporations | SPECIAL ANGELS, INC. | 70 Winter Avenue, Staten Island, New York 10301 |
| Street Address |
3738 CEDAR HILL DR |
| City | FAYETTEVILLE |
| State | NC |
| Zip Code | 28312-9612 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376185207 | Christine U Jones | Technician | 3801 Stedman Cedar Creek Rd, Fayetteville, NC 28312 | 2019-10-11 |
| 1497305890 | Stephanie Deshawn Cain | Technician | 1250 Colts Pride Dr, Fayetteville, NC 28312 | 2019-09-17 |
| 1477057545 | Accurate Sleep Diagnostic Center LLC | Clinic/Center | 4220 Locks Creek Church Road, Fayetteville, NC 28312 | 2018-03-22 |
| 1245739457 | Heather S Callihan | Home Health | 415 Old Vander Rd, Fayetteville, NC 28312 | 2018-02-03 |
| 1497088371 | Rainbow Pediatrics of Eastover | Pediatrics | 3361 Dunn Rd, Eastover, NC 28312 | 2009-09-10 |
| 1093947798 | Nuvision Home Care, Inc. | Home Health | 1549 River Road, Fayetteville, NC 28312 | 2009-08-13 |
| 1992724157 | Jactom Inc | Skilled Nursing Facility | 3532 Dunn Road, Fayetteville, NC 28312 | 2006-07-19 |
| 1134580442 | Elizabeth Boyle Kleinfelder | Nurse Practitioner | 3551 Dunn Rd, Eastover, NC 28312 | 2016-03-14 |
| 1629458369 | Mato Brown | Social Worker | 511 Middle Rd, Fayetteville, NC 28312 | 2015-06-08 |
| 1225109911 | William I Cross | Emergency Medicine | 2086 Tailwinds Rd, Fayetteville, NC 28312-5001 | 2006-11-13 |
| Find all providers in zip 28312 | ||||
| Taxonomy Code | 320900000X |
| Grouping | Residential Treatment Facilities |
| Classification | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities |
| A home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with mental retardation and/or developmental disabilities. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679065544 | Abilities In Motion | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 105 Habersham Dr Ste C, Fayetteville, GA 30214 | 2018-06-05 |
| 1720428717 | First Option Services | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 928 Highway 314, Fayetteville, GA 30214-3404 | 2013-07-05 |
| 1770922551 | Omni Visions, Inc. | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 3505 Elsie Cir, Fayetteville, NC 28312-9208 | 2013-06-14 |
| 1457684482 | Shirley Home Away From Home | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 190 Middling Ln, Fayetteville, GA 30214-3767 | 2009-09-09 |
| 1790925915 | Blessings Assurance Personal Care Home | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 285 Vickery Ln, Fayetteville, GA 30215-4680 | 2009-02-27 |
| 1528214905 | Caldwell and Associates Behavior Health, LLC | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 2539 Mcarthur Landing Cir, 102, Fayetteville, NC 28311-9020 | 2008-08-17 |
| 1467616318 | The Janice Mae Hawkins Foundation Inc | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 723 Glen Reilly Dr, Fayetteville, NC 28314-5600 | 2008-07-10 |
| 1033382486 | Serenity Residential Services | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 711 Middle Rd, Fayetteville, NC 28312-5211 | 2008-04-07 |
| 1518093814 | Parker Investment Limited | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 2370 Commonwealth Ave, Fayetteville, NC 28301-2870 | 2007-02-23 |
| 1710027883 | Sheryl Levette Harris | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 140 Carrollwood Dr, Fayetteville, GA 30215-5445 | 2007-02-07 |
| Find all providers in FAYETTEVILLE | ||||
| City | FAYETTEVILLE |
| Zip Code | 28312 |
Please comment or provide details below to improve the information on SPECIAL ANGELS.
| 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.