Heavenly Angels Home Of Care Pch, Llc

LBN: Heavenly Angels Home Of Care Pch, Llc
Heavenly Angels Home Of Care Pch, Llc is an health care organization with primary practice located at 5530 Swanson Rd , Ellenwood GA 30294-3857. The organization recently has 2 registered licenses in different health care specialties including Residential Treatment Facilities / Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities, Residential Treatment Facilities / Residential Treatment Facility, Physical Disabilities. Residential Treatment Facilities / Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities is the primary health care specialty. Heavenly Angels Home Of Care Pch, Llc can be contacted via phone (404) 361-8485, or through Brown, Ayanna R via phone (404) 361-8485.

Contact Information

Primary practice address
5530 Swanson Rd Ellenwood GA 30294-3857
Phone: (404) 361-8485
Fax: (404) 393-9382
Website:
Map and Directions
Authorized official contact:
Name: Brown, Ayanna R
Phone: (404) 361-8485

Health care specialties

SpecialtyCodeLicense #State
Residential Treatment Facilities / Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities 320600000X PCH006734 Georgia
Residential Treatment Facilities / Residential Treatment Facility, Physical Disabilities 320700000X PCH006734 Georgia

Profile Details

NPI number 1942561717
LBN Legal business name Heavenly Angels Home Of Care Pch, Llc
DBA Doing business as
Authorized official Brown, Ayanna R
Entity Organization
Organization subpart 1 No
Enumeration date Jun 7th, 2012
Last updated Jun 7th, 2012 - about 12 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.

Request for update

Popular Providers