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ANGEL STAR HOME HEALTH INC. NPI 1114948031


NPI Information

NPI: 1114948031
Provider Name: ANGEL STAR HOME HEALTH, INC.

Doing Business As: ANGEL STAR HOME HEALTH,INC.

Classification: Registered Nurse - 163W00000X
Entity Type: Organization
Address:
5100 REAGAN DR
SUITE 15
CHARLOTTE, NC
ZIP 28206
Phone: (704) 596-0162
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ANGEL STAR HOME HEALTH, INC. is a registered nurse in Charlotte, NC. The provider is (1) A registered nurse is a person qualified by graduation from an accredited nursing school (depending upon schooling, a registered nurse may receive either a diploma from a hospital program, an associate degree in nursing (A.D.N.) or a Bachelor of Science degree in nursing (B.S.N.), who is licensed or certified by the state, and is practicing within the scope of that license or certification. R.N.'s assist patient in recovering and maintaining their physical or mental health. They assist physicians during treatments and examinations and administer medications. (2) A provider who is trained and educated in a formal nursing education program at an accredited school of nursing, passes a national certification examination, and is licensed by the state to practice nursing. The individual provides nursing services to patients or clients in areas such as health promotion, disease prevention, acute and chronic care and restoration and maintenance of health across the life span. ANGEL STAR HOME HEALTH, INC. NPI is 1114948031. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Angel Star Home Health,inc..

The provider's business location address is:

5100 REAGAN DR
SUITE 15
CHARLOTTE, NC
ZIP 28206-190
Phone: (704) 596-0162
Fax: (704) 596-0869

The provider's authorized official is Veronica Lavon Mclendon .
The authorized official title is Vice President Of Operations and has the following contact phone number (704) 596-0162.

The enumeration date for this NPI number is 7/23/2006 and was last updated on 6/29/2009.


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
1374U00000XHome Health AideNo
2376K00000XNurse's AideNo
33747P1801XTechnicianPersonal Care AttendantNo
4163WC1500XRegistered NurseCommunity HealthNo
5163WH0200XRegistered NurseHome HealthNo
6163WI0500XRegistered NurseInfusion TherapyNo
7251E00000XHome HealthNo
8332B00000XDurable Medical Equipment & Medical Supplies332B00000XNORTH CAROLINANo
9163W00000XRegistered NurseYes

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
15517250001MEDICARE ID-TYPE UNSPECIFIEDNORTH CAROLINASUPPLIER ID
27704443MEDICAIDNORTH CAROLINADME ID
36106549MEDICAIDNORTH CAROLINALICENSED CLINICAL SOCIAL
46006020MEDICAIDNORTH CAROLINAOUTPATIENT MENTAL HEALTH
55517250001MEDICARE NSCNORTH CAROLINA
63408430MEDICAIDNORTH CAROLINACAPS

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: 4/28/2024

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