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HEART OF AN ANGEL NURSING SOLUTIONS LLC NPI 1497365340


NPI Information

NPI: 1497365340
Provider Name: HEART OF AN ANGEL NURSING SOLUTIONS, LLC
Classification: In Home Supportive Care - 253Z00000X
Entity Type: Organization

CLIA Number: 11D2190777

Address:
612 KESWICK VILLAGE CT NE
CONYERS, GA
ZIP 30013
Phone: (678) 800-5091
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HEART OF AN ANGEL NURSING SOLUTIONS, LLC is an in home supportive care in Conyers, GA. The provider is 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. HEART OF AN ANGEL NURSING SOLUTIONS, LLC NPI is 1497365340. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

612 KESWICK VILLAGE CT NE
CONYERS, GA
ZIP 30013-523
Phone: (678) 800-5091
Fax: (678) 609-0592

The provider's authorized official is Quatina Willis .
The authorized official title is Administrator and has the following contact phone number (470) 914-9457.

The CLIA number assigned to this NPI record is 11D2190777 - independent with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 8/5/2020 and was last updated on 3/23/2023.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1246RM2200XTechnician, PathologyMedical LaboratoryNo
2253Z00000XIn Home Supportive CareYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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