ANGEL HEART HOME CARE SERVICES LLC (NPI# 1598243313) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1598243313 |
| Entity Type | Organization |
| Organization Name | ANGEL HEART HOME CARE SERVICES LLC |
| Practice Address |
5041 Southern Trace Dr Gainesville GA 30504-8217 |
| Practice Telephone | 7702879360 |
| Mailing Telephone | 7702879360 |
| Enumeration Date | 2018-08-02 |
| Last Update Date | 2018-08-02 |
| Authorized Official Name | MRS. ANN M ASHLEY (OWNER/ADMINISTRATOR) |
| Authorized Official Telephone | 7702879360 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 253Z00000X | In Home Supportive Care | 069-R-2000 | GA | Agencies |
| Street Address |
5041 SOUTHERN TRACE DR |
| City | GAINESVILLE |
| State | GA |
| Zip Code | 30504-8217 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174124572 | Jessica Rodriguez New | Pharmacist | 2892 Browns Bridge Road, Gainesville, GA 30504 | 2020-11-03 |
| 1710541461 | Lauren Brooke Taylor | Occupational Therapist | 2900 Mcever Road, Gainesville, GA 30504 | 2019-04-29 |
| 1801023700 | Brenda Levartha Hamilton | Registered Nurse | 3905 Mabry Rd., Gainesville, GA 30504 | 2009-06-18 |
| 1083757645 | Charles Kent Yarbrough | Optometrist | 400 Shallowford Road, Vision Center, Gainesville, GA 30504 | 2007-02-14 |
| 1881746170 | Lisa S. Ralston | Occupational Therapist | 3038 St. Charles Ave., 3038 St. Charles Ave., Gainesville, GA 30504 | 2007-01-17 |
| 1326140690 | David Richards Adamson | Physical Therapist | 3640 Mundy Mill Road, Suite 102b, Oakwood, GA 30504 | 2006-09-05 |
| 1326057621 | Henry Joseph Lewis IIi | Legal Medicine | 5606 Captains Ct, Gainesville, GA 30504 | 2006-08-05 |
| 1992164032 | Hall County Endoscopy Center LLC | Clinic/Center | 1955 Textile Way, Gainesville, GA 30504 | 2016-02-17 |
| 1982902276 | James Minton | Pharmacist | 3640 Mundy Mill Road, Gainesville, GA 30504 | 2011-03-10 |
| 1881758969 | Donna Marie Colavecchio | Occupational Therapy Assistant | 3640 Mundy Mill Road, Suite 102b, Oakwood, GA 30504 | 2006-12-21 |
| Find all providers in zip 30504 | ||||
| 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 |
|---|---|---|---|---|
| 1417596149 | Seed of Life Senior Care LLC | In Home Supportive Care | 7709 Yalta Way, Gainesville, VA 20155-1983 | 2019-12-28 |
| 1972144343 | Barry Mcleod | In Home Supportive Care | 1020 Nw 23rd Ave Ste B, Gainesville, FL 32609-3460 | 2019-10-07 |
| 1538700794 | Embrace Home and Companion Services LLC | In Home Supportive Care | 3101 Ne 15th St Apt G61, Gainesville, FL 32609-2443 | 2019-09-30 |
| 1285281527 | Advance Best Care Medical Services LLC | In Home Supportive Care | 5745 Southwest 76th Street, Suite 250, Gainesville, FL 32608 | 2019-08-21 |
| 1316592660 | Clenatonia Martin | In Home Supportive Care | 8203 Nw 31st Ave Apt I58, Gainesville, FL 32606-6224 | 2019-08-05 |
| 1942867700 | Local Hearts, LLC | In Home Supportive Care | 320 County Road 466, Gainesville, TX 76240-1769 | 2019-05-28 |
| 1043772270 | Concierge Care of Gainesville, LLC | In Home Supportive Care | 2431 Nw 41st St Apt 4401, Gainesville, FL 32606-7409 | 2019-04-05 |
| 1194200949 | Covered With Care | In Home Supportive Care | 1930 Se 44th Ter, Gainesville, FL 32641-9506 | 2018-09-27 |
| 1558845693 | Sunny Day Senior Services, LLC | In Home Supportive Care | 14540 John Marshall Hwy Ste 108, Gainesville, VA 20155-1693 | 2018-09-24 |
| 1174011050 | Robin Denise Phillips | In Home Supportive Care | 1965 Sw 69th Dr, Gainesville, FL 32607-3783 | 2018-04-26 |
| Find all providers in GAINESVILLE | ||||
| City | GAINESVILLE |
| Zip Code | 30504 |
Please comment or provide details below to improve the information on ANGEL HEART HOME CARE SERVICES LLC.
| 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.