GRACE ANGELS HOME CARE CORP. (NPI# 1255842647) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1255842647 |
| Entity Type | Organization |
| Organization Name | GRACE ANGELS HOME CARE CORP. |
| Practice Address |
1170 Peachtree St Ne Ste 1200 Atlanta GA 30309-7673 |
| Practice Telephone | 8776636211 |
| Practice Fax Number | 8778291388 |
| Mailing Telephone | 8776636211 |
| Mailing Fax Number | 8778291388 |
| Enumeration Date | 2017-10-12 |
| Last Update Date | 2017-10-12 |
| Authorized Official Name | SEDRICKIOUS WILLIAMS (CEO) |
| Authorized Official Telephone | 8776636211 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251E00000X | Home Health | Agencies |
| Street Address |
1170 PEACHTREE ST NE STE 1200 |
| City | ATLANTA |
| State | GA |
| Zip Code | 30309-7673 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679192819 | Demetris Burney | Behavior Technician | 1170 Peachtree St Ne Ste 1200, Atlanta, GA 30309-7673 | 2020-04-08 |
| 1376172460 | Justus Bowland-gleason | Behavior Technician | 1170 Peachtree St Ne Ste 1200, Atlanta, GA 30309-7673 | 2020-04-02 |
| 1578105201 | Momentum Aba Services of Georgia | Early Intervention Provider Agency | 1170 Peachtree St Ne Ste 1200, Atlanta, GA 30309-7673 | 2019-10-15 |
| 1558912113 | Charles T Smalls Jr. | Behavioral Analyst | 1170 Peachtree St Ne Ste 1200, Atlanta, GA 30309-7673 | 2019-09-25 |
| 1497302731 | Allison C. Curling | Behavior Technician | 1170 Peachtree St Ne Ste 1200, Atlanta, GA 30309-7673 | 2019-08-21 |
| 1942869151 | Vanessa Jules | Behavior Technician | 1170 Peachtree St Ne Ste 1200, Atlanta, GA 30309-7673 | 2019-06-11 |
| 1568965556 | Rebecca Bolen | Specialist/Technologist, Other | 1170 Peachtree St Ne Ste 1200, Atlanta, GA 30309-7673 | 2018-03-15 |
| 1851892129 | Dyshum Lenora Breann Robinson | Behavior Technician | 1170 Peachtree St Ne Ste 1200, Atlanta, GA 30309-7673 | 2018-02-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396382354 | Astoria Dentistry LLC | Dentist | 2233 Peachtree Rd. Nw, Suite 300, Atlanta, GA 30309 | 2019-12-09 |
| 1487133740 | S2 Telehealth Technologies, LLC | Psychiatry & Neurology | 915 W Peachtree St Nw Apt 522, Atlanta, GA 30309 | 2018-08-08 |
| 1841782620 | Janie Mardis | Social Worker | 3 Park Ln Ne, Apt H, Atlanta, GA 30309 | 2018-06-06 |
| 1083102842 | Veronica L Bentley | Specialist/Technologist, Other | 1170 Peachtree Street Suite 1200, Atlanta, GA 30309 | 2018-04-27 |
| 1427566363 | Net Medical Corp | Chiropractor | 1100 Spring St Sw, Ste#700, Atlanta, GA 30309 | 2018-01-12 |
| 1871000463 | Mary James (jamie) Johnson | Counselor | 1100 Spring Street, Suite 380, Atlanta, GA 30309 | 2018-01-04 |
| 1306377817 | Aliyah Lamis Scott | Social Worker | 1745 Peachtree Road Ne, Kaiser Permanente Brookwood Medical Office, Atlanta, GA 30309 | 2017-03-26 |
| 1013450774 | Caroline Hallen | Nurse Practitioner | 105 Collier Rd Nw Suite 3040, Atlanta, GA 30309 | 2016-11-29 |
| 1528501723 | Ant-aging Queen | Nutritionist | 1801 Atlanta Medical Clinic, Suite 250, Atlanta, GA 30309 | 2016-11-21 |
| 1790231439 | Nurse 2 Health Home Care LLC | Home Health | 1075 Peachtree Street Ne, Atlanta, GA 30309 | 2016-09-01 |
| Find all providers in zip 30309 | ||||
| Taxonomy Code | 251E00000X |
| Grouping | Agencies |
| Classification | Home Health |
| A public agency or private organization, or a subdivision of such an agency or organization, that is primarily engaged in providing skilled nursing services and other therapeutic services, such as physical therapy, speech-language pathology services, or occupational therapy, medical social services, and home health aide services. It has policies established by a professional group associated with the agency or organization (including at least one physician and one registered nurse) to govern the services and provides for supervision of such services by a physician or a registered nurse; maintains clinical records on all patients; is licensed in accordance with State or local law or is approved by the State or local licensing agency as meeting the licensing standards, where applicable; and meets other conditions found by the Secretary of Health and Human Services to be necessary for health and safety. |
| Notes: Source: CFR42 Chapter IV Part 484, http://www.access.gpo.gov/nara/cfr/waisidx_99/42cfr484_99.html [7/1/2007: definition added, source added] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073114286 | Sadiecare Health Services Incorporated | Home Health | 483 Holderness St Sw Unit B, Atlanta, GA 30310-1748 | 2020-11-04 |
| 1356941082 | Just Peachy Home Care LLC | Home Health | 550 Fairburn Rd Sw Ste B1, Atlanta, GA 30331-2016 | 2020-10-30 |
| 1174138564 | Divine Angels Home Care | Home Health | 1201 Peachtree St Ne Bldg 400, Atlanta, GA 30361-3507 | 2020-09-11 |
| 1588272041 | Baron Home Group LLC | Home Health | 1700 Withmere Way, Atlanta, GA 30338-2839 | 2020-07-21 |
| 1699383729 | Benevolent Home and Health LLC | Home Health | 290 Mlk Jr Dr Se Unit 4409, Atlanta, GA 30312-2540 | 2020-07-15 |
| 1487272324 | Providence Healthcare Services, Inc | Home Health | 1230 Peachtree St Ne Fl 19, Atlanta, GA 30309-3574 | 2020-07-07 |
| 1558985754 | Peoples House Atl 1 LLC | Home Health | 707 Park Ave Ne Apt 1380, Atlanta, GA 30326-3410 | 2020-06-03 |
| 1669092391 | Abide Infusions and Home Care | Home Health | 741 Piedmont Ave Ne Ste 130, Atlanta, GA 30308-1420 | 2020-04-22 |
| 1326677790 | Art of Care Home Health Care LLC | Home Health | 1155 Lavista Rd Ne Apt 1225, Atlanta, GA 30324-3748 | 2020-04-07 |
| 1396372363 | Lamar Agency | Home Health | 3040 Peachtree Rd Nw Unit 1010, Atlanta, GA 30305-2290 | 2020-03-26 |
| Find all providers in ATLANTA | ||||
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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.