MICAH'S ANGELS INC (NPI# 1033241005) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1033241005 |
| Entity Type | Organization |
| Organization Name | MICAH'S ANGELS INC |
| Practice Address |
11822 Stewarts Crossing Dr Charlotte NC 28215-5072 |
| Practice Telephone | 7047128454 |
| Practice Fax Number | 7045324414 |
| Mailing Telephone | 7047128454 |
| Mailing Fax Number | 7045324414 |
| Enumeration Date | 2007-03-12 |
| Last Update Date | 2008-06-24 |
| Authorized Official Name | PAULETTE L WASHINGTON (OWNER) |
| Authorized Official Telephone | 7047128454 |
| 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 | MHL-060-846 | NC | Residential Treatment Facilities |
| Street Address |
11822 STEWARTS CROSSING DR |
| City | CHARLOTTE |
| State | NC |
| Zip Code | 28215-5072 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679111769 | Lawana Ussery Hill | Case Management | 1740 Misty Morn Drive, Charlotte, NC 28215 | 2019-12-19 |
| 1053961110 | Tonya Anita Brown | Behavior Technician | 10230 White Oak Rd, Charlotte, NC 28215 | 2019-09-19 |
| 1780242412 | Mikhail A Rybin | Registered Nurse | 7502 Malden Park Drive, Charlotte, NC 28215 | 2019-05-29 |
| 1033698527 | Novant Medical Group, Inc | Internal Medicine | 8201 Healthcare Loop Ste 304, Charlotte, NC 28215 | 2018-08-07 |
| 1538646088 | Andrew Simpson | Pharmacist | 3805 Rocky River Rd, Charlotte, NC 28215 | 2018-07-26 |
| 1154818425 | Korinne A Umlauft | Specialist/Technologist | 8618 Terra Cotta Dr, Charlotte, NC 28215 | 2018-04-22 |
| 1477058196 | Harmony Health Pllc | Community/Behavioral Health | 8633 Pine Circle, Charlotte, NC 28215 | 2018-03-26 |
| 1639671357 | Total Renal Care of North Carolina LLC | Clinic/Center | 9562 Rocky River Rd, Charlotte, NC 28215 | 2018-03-08 |
| 1588166060 | Allcare Medical Center,pllc | Internal Medicine | 7401 The Plaza, Charlotte, NC 28215 | 2018-03-01 |
| 1851891774 | Bio-medical Applications of North Carolina, Inc. | Clinic/Center | 3211 Bishops Way Lane, Charlotte, NC 28215 | 2018-02-16 |
| Find all providers in zip 28215 | ||||
| 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 |
|---|---|---|---|---|
| 1922623792 | Our Home At Home LLC | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 4601 Waterford Knoll Dr Apt 1724, Charlotte, NC 28226-6015 | 2020-06-08 |
| 1740744283 | Tri Plex Industries Corp | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 9635 Southern Pine Blvd Ste 154, Charlotte, NC 28273-5564 | 2019-01-29 |
| 1982144796 | Care Connection Help,llc | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 206 Cottonwood Park Dr, Charlotte, NC 28214-8700 | 2017-02-27 |
| 1841741980 | Quest Provider Services | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 8611 Parkland Cir, #101, Charlotte, NC 28227-2211 | 2016-10-24 |
| 1255882494 | Quest Provider Services | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 7911 Rusty Plow Ct, Charlotte, NC 28216-6837 | 2016-10-24 |
| 1336593698 | Miracle Houses, Inc. | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 2627 Providence Rd, Charlotte, NC 28211-2238 | 2016-04-22 |
| 1114386059 | Elite Care Services, Inc. | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 4933 Farm Pond Ln, Charlotte, NC 28212-8582 | 2016-02-21 |
| 1699196766 | Reese Health Services | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 1900 Mcallister Dr Apt C, Charlotte, NC 28216-0050 | 2013-12-17 |
| 1134408719 | A New Beginning II | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 6002 Lillyshire Pl, Charlotte, NC 28213-4315 | 2011-08-12 |
| 1750689253 | Leap of Faith Family Services | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 8420 Strider Dr, Charlotte, NC 28212-1555 | 2011-03-08 |
| Find all providers in CHARLOTTE | ||||
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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.