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HEAVENLY ANGELS HOME OF CARE PCH LLC NPI 1942561717


NPI Information

NPI: 1942561717
Provider Name: HEAVENLY ANGELS HOME OF CARE PCH, LLC
Classification: Residential Treatment Facility, Intellectual and/or Developmental Disabilities - 320600000X
Entity Type: Organization
Address:
5530 SWANSON RD
ELLENWOOD, GA
ZIP 30294
Phone: (404) 361-8485
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HEAVENLY ANGELS HOME OF CARE PCH, LLC is a residential treatment facility, intellectual and/or developmental disabilities in Ellenwood, GA. The provider is a residential facility that provides habilitation services and other care and treatment to adults or children diagnosed with developmental and intellectual disabilities and are not able to live independently. HEAVENLY ANGELS HOME OF CARE PCH, LLC NPI is 1942561717. The provider is registered as an organization entity type.

The provider's business location address is:

5530 SWANSON RD
ELLENWOOD, GA
ZIP 30294-857
Phone: (404) 361-8485
Fax: (404) 393-9382

The provider's authorized official is Ayanna R Brown .
The authorized official title is Ceo and has the following contact phone number (404) 361-8485.

The enumeration date for this NPI number is 6/7/2012 and was last updated on 6/7/2012.


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
1320700000XResidential Treatment Facility, Physical DisabilitiesPCH006734GEORGIANo
2320600000XResidential Treatment Facility, Intellectual and/or Developmental DisabilitiesPCH006734GEORGIAYes

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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