ANGELIC COMMUNITY &AND FAMILY SERVICES (NPI# 1134328636) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1134328636 |
| Entity Type | Organization |
| Organization Name | ANGELIC COMMUNITY &AND FAMILY SERVICES |
| Practice Address |
5601 Executive Center Dr Suite 220 Charlotte NC 28212-8863 |
| Practice Telephone | 8663916369 |
| Practice Fax Number | 8662936371 |
| Mailing Telephone | 8663916369 |
| Mailing Fax Number | 8662936371 |
| Enumeration Date | 2007-07-13 |
| Last Update Date | 2007-07-13 |
| Authorized Official Name | ERIC MITCHELL (DIRECTOR OF OPERATIONS) |
| Authorized Official Telephone | 7045326369 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 305R00000X | Preferred Provider Organization | Managed Care Organizations |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NC | 8301884B | 05 | |
| NC | 8301885B | 05 |
| Street Address |
5601 EXECUTIVE CENTER DR SUITE 220 |
| City | CHARLOTTE |
| State | NC |
| Zip Code | 28212-8863 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679531461 | Southeast Addiction Institute and Learning Center, Inc | Counselor | 5601 Executive Center Dr, Suite 101, Charlotte, NC 28212-8841 | 2006-05-02 |
| 1922487024 | Chad Hearst | Community/Behavioral Health | 5601 Executive Center Dr, 201, Charlotte, NC 28212-8863 | 2015-05-21 |
| 1699012724 | Person Centered Partnerships, Inc. | Case Management | 5601 Executive Center Dr, Suite 201, Charlotte, NC 28212-8863 | 2013-01-09 |
| 1205153558 | Hope Lee Marshall | Counselor | 5601 Executive Center Dr, Ste 101, Sail, Charlotte, NC 28212-8863 | 2010-04-27 |
| 1588991814 | Cnc/access Inc | Community/Behavioral Health | 5601 Executive Center Dr, Charlotte, NC 28212-8863 | 2009-11-06 |
| 1396072625 | Cnc/access Inc | In Home Supportive Care | 5601 Executive Center Dr, Charlotte, NC 28212-8863 | 2009-11-06 |
| 1275776932 | Cnc Access Inc | Community/Behavioral Health | 5601 Executive Center Dr, Suite 147, Charlotte, NC 28212-8863 | 2009-04-10 |
| 1215141023 | Jennifer Love-pennell | Counselor | 5601 Executive Center Dr, Suite 201, Charlotte, NC 28212-8863 | 2007-05-10 |
| 1710052683 | Angelic Community & Family Services | Preferred Provider Organization | 5601 Executive Center Dr, Suite 220, Charlotte, NC 28212-8863 | 2006-11-23 |
| 1780780940 | Carly Buchanan Thorpe | Counselor | 5601 Executive Center Dr, Ste 101, Charlotte, NC 28212-8863 | 2006-09-15 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295371250 | Amy Sierra Conner | Counselor | 5700 Executive Drive Suite 110, Charlotte, NC 28212 | 2019-11-25 |
| 1700447307 | Nagarani Nagarajan Dds.,pllc | Clinic/Center | 2510 Vista Drive, Suite 100, Charlotte, NC 28212 | 2019-06-25 |
| 1700441011 | Khadija Brown | Counselor | 6601 English Hills Dr, Charlotte, NC 28212 | 2019-05-02 |
| 1245711514 | Savannah Huneycutt | Dentist | 6708 Albemarle Road, Charlotte, NC 28212 | 2018-08-24 |
| 1417435710 | Porcelain Dolls of The Carolinas, Inc | Clinic/Center | 5835 Executive Center Dr # 101-i, Charlotte, NC 28212 | 2018-07-30 |
| 1447701511 | Christine Walker Physical Therapy, LLC | Clinic/Center | 8850 Monroe Rd, Charlotte, NC 28212 | 2016-10-24 |
| 1013376128 | Colby Edward Joyner | Physician Assistant | 7005 Wallace Rd Ste 600, Charlotte, NC 28212 | 2016-02-17 |
| 1760814412 | Nguyen Tri Nguyen, Dds, Pa | Dentist | 6404 Albemarle Road, #c, Charlotte, NC 28212 | 2013-08-05 |
| 1477806834 | Tara Thompson | Counselor | 6900 Democracy Dr., Charlotte, NC 28212 | 2012-10-23 |
| 1568711109 | Mary Dianne Branch | Counselor | 8130 Runaway Bay Drive Apt Q, Charlotte, NC 28212 | 2012-08-29 |
| Find all providers in zip 28212 | ||||
| Taxonomy Code | 305R00000X |
| Grouping | Managed Care Organizations |
| Classification | Preferred Provider Organization |
| A group of physicians and/or hospitals who contract with an employer to provide services to their employees. In a PPO, the patient may got to the physician of his/her choice, even if that physician does not participate in the PPO, but the patient receives care at a lower benefit level. |
| Notes: Source: "Glossary of terms used in managed care" Developed by the Managed Care Assembly (MCA) of Medical Group Management Association (MGMA), MGM Journal, September/ October 1995, p. 62 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497299663 | Family Focused Network | Preferred Provider Organization | 5320 Wisbech Ct, Charlotte, NC 28215-5057 | 2016-12-07 |
| 1891058210 | Mcclain's Family Care Home #1 | Preferred Provider Organization | 5953 The Plaza, Charlotte, NC 28215-2451 | 2012-06-20 |
| 1649543802 | Springs Transition Home& Family Service | Preferred Provider Organization | 1801 N Tryon St Ste 603, Charlotte, NC 28206-2781 | 2012-02-20 |
| 1053684860 | Optimum Horizon LLC | Preferred Provider Organization | 6412 Mallard View Ln, Charlotte, NC 28269-5121 | 2012-02-10 |
| 1609165679 | A First Step Substance Abuse Center | Preferred Provider Organization | 1317 Pecan Ave, Charlotte, NC 28205-3411 | 2011-03-30 |
| 1356582027 | Wee Care Christian Child Development Center | Preferred Provider Organization | 1112 Opal St, Charlotte, NC 28208-3319 | 2009-03-10 |
| 1083887434 | Community Alternative Resources, Inc. | Preferred Provider Organization | 7303 Shiras Ct, Charlotte, NC 28273-9606 | 2008-04-08 |
| 1003028655 | The Educational Research Group | Preferred Provider Organization | 9159 Snow Hill Ct, Charlotte, NC 28269-6123 | 2007-05-04 |
| 1467810820 | Sports Helping Educate and Develop, Inc | Preferred Provider Organization | 5736 N Tryon St, Suite 204-a, Charlotte, NC 28213-6850 | 2016-02-01 |
| 1093104044 | Marco Chiropractic, Pllc | Preferred Provider Organization | 16607 Riverstone Way, Suite 100, Charlotte, NC 28277-5749 | 2015-01-14 |
| 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.