CHARLIES ANGELS CARE CORP (NPI# 1336740356) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1336740356 |
Entity Type | Organization |
Organization Name | CHARLIES ANGELS CARE CORP |
Practice Address |
525 W Broad St Twin City GA 30471-4187 |
Practice Telephone | 4782998531 |
Enumeration Date | 2020-11-05 |
Last Update Date | 2020-11-05 |
Authorized Official Name | CRSYTAL SCOTT (CEO) |
Authorized Official Telephone | 4782998531 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 253Z00000X | In Home Supportive Care | Agencies |
Street Address |
525 W BROAD ST |
City | TWIN CITY |
State | GA |
Zip Code | 30471-4187 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1720635881 | Delois Jenkins | Technician | 654 Sam Overstreet Road, Twin City, GA 30471 | 2019-08-23 |
1932416674 | Emanuel County Board of Health | Public Health or Welfare | 503 S Railroad Ave, Twin City, GA 30471 | 2010-09-01 |
1598828691 | National Assistance Bureau Inc. | Skilled Nursing Facility | 211 Mathis Ave, Twin City, GA 30471 | 2006-12-19 |
1134119936 | Emanuel County Hospital Authority | Clinic/Center | 511 Gilliken St, Twin City, GA 30471 | 2005-10-24 |
1568831071 | 2-k Pharmakon Services LLC | Pharmacy | 507 S Railroad Ave, Twin City, GA 30471 | 2015-09-15 |
1063722924 | Jenkins County Hospital LLC | Surgery | 115 Gillikin St, Twin City, GA 30471-3989 | 2010-10-13 |
1710428255 | Claire Ault | Nurse Practitioner | 115 Gillikin St, Twin City, GA 30471-3989 | 2017-03-16 |
1912319997 | Emanuel County Hospital Authority | Clinic/Center | 115 Gillikin St, Twin City, GA 30471-3989 | 2014-05-27 |
1568750636 | Lauren Shaw Mcmillan | Registered Nurse | 115 Gillikin St, Twin City, GA 30471-3989 | 2011-07-11 |
1194000190 | Ogeechee Behavioral Health Services | Community/Behavioral Health | 293 Little Canoochee Creek Rd, Twin City, GA 30471-4123 | 2011-10-21 |
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Taxonomy Code | 253Z00000X |
Grouping | Agencies |
Classification | In Home Supportive Care |
An In Home Supportive Care Agency provides services in the patient’s home with the goal of enabling the patient to remain at home. The services provided may include personal care services such as hands-on assistance with activities of daily living (ADLs), e.g., eating, bathing, dressing, and bladder and bowel requirements; homemaker services and instrumental activities of daily living (IADLs), e.g., taking medications, shopping for groceries, laundry, housekeeping, and companionship; and/or supervision or cuing so that a person can perform tasks themselves. |
Notes: Source: National Uniform Claim Committee, 2008 [7/1/2008: new] |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1316547433 | Xl Promise Home Care LLC | In Home Supportive Care | 102 Highland Park Trl, Sandy Springs, GA 30350-3392 | 2020-10-28 |
1639779960 | Caring House Home Care Services, LLC | In Home Supportive Care | 1100 Pittsburgh Ave, White Plains, GA 30678 | 2020-10-27 |
1518565159 | First Choice Home Health Care LLC | In Home Supportive Care | 600 Westridge Parkway, Suite 707, Mcdonough, GA 30253 | 2020-10-15 |
1871100123 | Angella Miller | In Home Supportive Care | 326 Carrington Ln, Douglasville, GA 30135-6712 | 2020-09-29 |
1366059222 | Esther Home Care Services LLC | In Home Supportive Care | 3153 Chapel Rd Nw, Kennesaw, GA 30144-4203 | 2020-09-25 |
1538776570 | Superior Home Care Services, LLC | In Home Supportive Care | 2242 Young America Dr, Lawrenceville, GA 30043-8011 | 2020-09-24 |
1548876816 | Dwe-bah Home Care LLC. | In Home Supportive Care | 1991 Roxey Ln, Winder, GA 30680-6124 | 2020-09-21 |
1174138416 | Crossley Seniorcare LLC | In Home Supportive Care | 4321 S Lee St Ste 400, Buford, GA 30518-5776 | 2020-09-14 |
1427662634 | V E Health Services LLC | In Home Supportive Care | 3164 Town and Country Road, Donalsonville, GA 39845 | 2020-09-04 |
1649884305 | Amb Compassionate Caregivers Inc. | In Home Supportive Care | 1440 Rose Terrace Cir, Loganville, GA 30052-9043 | 2020-09-01 |
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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.