ANGEL PRIVATE DUTY HOMECARE, LLC (NPI# 1851843098) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1851843098 |
| Entity Type | Organization |
| Organization Name | ANGEL PRIVATE DUTY HOMECARE, LLC |
| Practice Address |
160 Clairemont Ave Ste 200 Decatur GA 30030-2546 |
| Practice Telephone | 6789545717 |
| Practice Fax Number | 6789545801 |
| Mailing Telephone | 6789545717 |
| Mailing Fax Number | 6789545801 |
| Enumeration Date | 2016-11-03 |
| Last Update Date | 2017-01-05 |
| Authorized Official Name | SHAUNTAI GREER (ADMINSTRATOR) |
| Authorized Official Telephone | 9018578143 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 251J00000X | Nursing Care | 033R1625 | GA | Agencies |
| N | 253Z00000X | In Home Supportive Care | 033R1625 | GA | Agencies |
| Y | 251E00000X | Home Health | 033R1625 | GA | Agencies |
| Street Address |
160 CLAIREMONT AVE STE 200 |
| City | DECATUR |
| State | GA |
| Zip Code | 30030-2546 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790084937 | Oni Twanisha Roberts | Massage Therapist | 160 Clairemont Ave Ste 200, Decatur, GA 30030-2546 | 2011-03-25 |
| 1134735236 | Katherine Allen | Behavior Technician | 160 Clairemont Ave Ste 200, Decatur, GA 30030-2546 | 2020-09-23 |
| 1033725247 | Emily Mitchell | Behavior Technician | 160 Clairemont Ave Ste 200, Decatur, GA 30030-2546 | 2020-09-22 |
| 1043850183 | Kellie Elizabeth Tomlinson | Behavior Technician | 160 Clairemont Ave Ste 200, Decatur, GA 30030-2546 | 2020-01-07 |
| 1578102729 | Core Elements Counseling & Consultation | Psychologist | 160 Clairemont Ave Ste 200, Decatur, GA 30030-2546 | 2020-01-04 |
| 1396389995 | Tristin Jackson | Behavior Technician | 160 Clairemont Ave Ste 200, Decatur, GA 30030-2546 | 2019-11-06 |
| 1346881158 | National Benefits Services | Durable Medical Equipment & Medical Supplies | 160 Clairemont Ave Ste 200, Decatur, GA 30030-2546 | 2019-10-02 |
| 1346881513 | Monica Maria Wadley | Behavior Technician | 160 Clairemont Ave Ste 200, Decatur, GA 30030-2546 | 2019-09-30 |
| 1902450935 | Khadija Lynnette Highsmith | Behavior Technician | 160 Clairemont Ave Ste 200, Decatur, GA 30030-2546 | 2019-07-29 |
| 1134773484 | Syrina Merilan | Behavior Technician | 160 Clairemont Ave Ste 200, Decatur, GA 30030-2546 | 2019-07-25 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801413174 | Pa-c Surgical Assist, LLC | Clinic/Center | 520 W Ponce Leon Ave #1706, Decatur, GA 30030 | 2020-07-02 |
| 1417587478 | Elizabeth Heffron | Acupuncturist | 619b East College Avenue, Decatur, GA 30030 | 2020-01-17 |
| 1669016143 | Atlanta Upper Cervical Chiropractic LLC | Chiropractor | 125 E Trinity Place, Suite #247, Decatur, GA 30030 | 2019-10-29 |
| 1831757418 | Jessica Stewart | Counselor | 755 Commerce Dr Ste 903, Decatur, GA 30030 | 2019-05-30 |
| 1699238733 | Dinah Augustin | Registered Nurse | 1458 Church St., Unit B, Decatur, GA 30030 | 2019-04-06 |
| 1093284291 | Eliza Segell | Social Worker | 165 Dekalb Industrial Way Ste D-1, Decatur, GA 30030 | 2018-11-16 |
| 1912476466 | Positive Impact Health Centers, Inc. | Pharmacy | 523 Church Street, Suite B, Decatur, GA 30030 | 2018-11-14 |
| 1932685096 | T2 Imaging | Radiology | 1376 Church Street, Suite 100, Decatur, GA 30030 | 2018-07-12 |
| 1992292858 | Keeanna M Powell | Counselor | Agape Transformation Practice, 235 E. Ponce De Leon Ave Suite 103, Decatur, GA 30030 | 2018-04-17 |
| 1780185488 | Solutions Ae Inc | Counselor | One West Square Court, Suite 710, Decatur, GA 30030 | 2018-02-27 |
| Find all providers in zip 30030 | ||||
| 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 |
|---|---|---|---|---|
| 1265053102 | Greater Atlanta Home Care Services LLC | Home Health | 1741 Lee St, Decatur, GA 30035-1659 | 2020-05-01 |
| 1114558467 | Whole Hearted Care, Inc | Home Health | 1697 Mckenzie Dr, Decatur, GA 30032-4658 | 2020-01-27 |
| 1376181578 | Tashika T Williams | Home Health | 1024 N Dunham Ave, Decatur, IL 62522-1508 | 2019-12-18 |
| 1710521430 | His Vision Healthcare Services LLC | Home Health | 4153c Flat Shoals Pkwy Ste 330a, Decatur, GA 30034-4863 | 2019-11-06 |
| 1790335305 | Bella's Health Care Services, Inc | Home Health | 2966 Flat Shoals Rd, Decatur, GA 30034-2649 | 2019-09-16 |
| 1659923605 | America's Best Healthcare Services, Inc. | Home Health | 4151 Memorial Dr Ste 111a, Decatur, GA 30032-1598 | 2019-07-10 |
| 1538620984 | Encompass Health Home Health of Alabama, LLC | Home Health | 1690 Beltline Rd Sw Ste B, Decatur, AL 35601-5505 | 2019-03-28 |
| 1811453137 | Au'royal Health Care LLC | Home Health | 3118 Gay Dr Bsmt Office, Decatur, GA 30032-7135 | 2019-02-11 |
| 1396108700 | Optimum Recovery Care | Home Health | 2945 Da Vinci Blvd, Decatur, GA 30034-3120 | 2016-04-02 |
| 1063883031 | True Life Home Care Services LLC | Home Health | 360 W Benson St, 7, Decatur, GA 30030-4330 | 2015-10-15 |
| Find all providers in DECATUR | ||||
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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.