Angelic Community & Family Services

LBN: Angelic Community & Family Services
Angelic Community & Family Services is an health care organization with primary practice located at 5601 Executive Center Dr Suite 220, Charlotte NC 28212-8863. The organization recently has only one registered license in Managed Care Organizations / Preferred Provider Organization, which is considered as the primary health care specialty. Angelic Community & Family Services can be contacted via phone (704) 532-6369, or through Mitchell, Eric Bernard via phone (866) 391-6369.

Contact Information

Primary practice address
5601 Executive Center Dr Suite 220 Charlotte NC 28212-8863
Phone: (704) 532-6369
Fax: (866) 293-6371
Website:
Map and Directions
Authorized official contact:
Name: Mitchell, Eric Bernard
Phone: (866) 391-6369

Health care specialties

SpecialtyCodeLicense #State
Managed Care Organizations / Preferred Provider Organization 305R00000X

Profile Details

NPI number 1710052683
LBN Legal business name Angelic Community & Family Services
DBA Doing business as
Authorized official Mitchell, Eric Bernard
Entity Organization
Organization subpart 1 No
Enumeration date Nov 23rd, 2006
Last updated Aug 22nd, 2020 - about 5 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1710052683 NPPES
North Carolina MEDICAID 3408218

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