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HOLY ANGELS INC NPI 1619310851


NPI Information

NPI: 1619310851
Provider Name: HOLY ANGELS INC
Classification: Residential Treatment Facility, Intellectual and/or Developmental Disabilities - 320600000X
Entity Type: Organization

CLIA Number: 34D0722088

Address:
6600 W WILKINSON BLVD
BELMONT, NC
ZIP 28012
Phone: (704) 825-4161
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HOLY ANGELS INC is a residential treatment facility, intellectual and/or developmental disabilities in Belmont, NC. 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. HOLY ANGELS INC NPI is 1619310851. The provider is registered as an organization entity type.

The provider's business location address is:

6600 W WILKINSON BLVD
BELMONT, NC
ZIP 28012-796
Phone: (704) 825-4161

The provider's authorized official is Regina Moody .
The authorized official title is President/ceo and has the following contact phone number (704) 825-4161.

The CLIA number assigned to this NPI record is 34D0722088 - intermediate care facility for mentally retarded with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 4/8/2013 and was last updated on 3/17/2018.


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
1251C00000XDay Training, Developmentally Disabled ServicesMHL-036-041NORTH CAROLINANo
2251C00000XDay Training, Developmentally Disabled ServicesMHL-036-310NORTH CAROLINANo
3251J00000XNursing CareNo
4251S00000XCommunity/Behavioral HealthNo
5320600000XResidential Treatment Facility, Intellectual and/or Developmental DisabilitiesMHL-036-012NORTH CAROLINAYes
6320600000XResidential Treatment Facility, Intellectual and/or Developmental DisabilitiesMHL-036-112NORTH CAROLINANo
7320600000XResidential Treatment Facility, Intellectual and/or Developmental DisabilitiesMHL-036-058NORTH CAROLINANo
8320600000XResidential Treatment Facility, Intellectual and/or Developmental DisabilitiesMHL-036-111NORTH CAROLINANo
9320600000XResidential Treatment Facility, Intellectual and/or Developmental DisabilitiesMHL-036-041NORTH CAROLINANo

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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