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NATIVE ANGELS HOME CARE AGENCY INC NPI 1437347747


NPI Information

NPI: 1437347747
Provider Name: NATIVE ANGELS HOME CARE AGENCY INC

Other Name: NATIVE ANGELS

Classification: Technician - 3747P1801X
Entity Type: Organization

Specialization: Personal Care Attendant

CLIA Number: 34D2223834

Address:
2008 LITHO PL
FAYETTEVILLE, NC
ZIP 28304
Phone: (910) 483-1357
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NATIVE ANGELS HOME CARE AGENCY INC is a personal care attendant technician in Fayetteville, NC. The provider is an individual who provides assistance with eating, bathing, dressing, personal hygiene, activities of daily living as specified in the plan of care. Services which are incidental to the care furnished, or essential to the health and welfare of the individual may also be provided. Personal care providers must meet state defined training and certification standards NATIVE ANGELS HOME CARE AGENCY INC NPI is 1437347747. The provider is registered as an organization entity type and is a single specialty group.
The provider Other Name Is Native Angels.

The provider's business location address is:

2008 LITHO PL
FAYETTEVILLE, NC
ZIP 28304-518
Phone: (910) 483-1357
Fax: (910) 483-8609

The provider's authorized official is Bobbie Jacobs-ghaffar .
The authorized official title is Ceo and has the following contact phone number (910) 735-1541.

The CLIA number assigned to this NPI record is 34D2223834 - mobile lab with a certificate type of Certificate of Registration.

The enumeration date for this NPI number is 10/11/2007 and was last updated on 6/13/2008.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
13747P1801XTechnicianPersonal Care AttendantHC3489NORTH CAROLINAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
16601753MEDICAIDNORTH CAROLINA

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: 11/14/2023

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