Healthcare Provider Details

I. General information

NPI: 1760793616
Provider Name (Legal Business Name): CARE ANGELS NONMEDICAL STAFFING SERVICES
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/25/2010
Last Update Date: 07/06/2010
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4480 S. COBB DRIVE
SMYRNA GA
30080
US

IV. Provider business mailing address

PO BOX 105603
ATLANTA GA
30348
US

V. Phone/Fax

Practice location:
  • Phone: 404-890-5515
  • Fax:
Mailing address:
  • Phone: 404-890-5515
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code253Z00000X
TaxonomyIn Home Supportive Care Agency
License Number
License Number State

VIII. Authorized Official

Name: SHAKEETA WINFREY
Title or Position: CFO
Credential: PHD, M.S. B,S
Phone: 404-890-5515