ELITE CARE ANGELS INC NPI 1568802239

NPI Information

  • NPI: 1568802239
  • Provider Name: ELITE CARE ANGELS INC
  • Classification: Skilled Nursing Facility - 3140N1450X
  • Specialization: Nursing Care, Pediatric
  • Entity Type: Organization
  • Doing Business As: E C A IN HOME CARE
  • Address: 571 PENNYLAKE LN
    STONE MOUNTAIN, GA
    ZIP 30087
  • Phone: (404) 462-8363

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NPI Details

ELITE CARE ANGELS INC is a nursing care and pediatric skilled nursing facility in Stone Mountain, GA. The provider is a nursing care facility designed and staffed for the provision of nursing care and appropriate educational and habilitative/rehabilitative services to children with multiple, complex or profound disabilities that can not be cared for in a less restrictive environment. ELITE CARE ANGELS INC NPI is 1568802239. The provider is registered as an organization entity type.
The provider Is Doing Business As E C A In Home Care.

The provider's business location address is:

571 PENNYLAKE LN
STONE MOUNTAIN, GA
ZIP 30087-769
Phone: (404) 462-8363
Fax: (404) 474-4784

The provider's authorized official is Sandra Lee Brathwaite .
The authorized official title is President and has the following contact phone number (404) 462-8363.

The enumeration date for this NPI number is 6/26/2013 and was last updated on 6/26/2013.

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
13140N1450XSkilled Nursing FacilityNursing Care, PediatricCN0030021523GEORGIAYes

What is NPI?

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This page was last updated on: 3/30/2025

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