Healthcare Provider Details

I. General information

NPI: 1396880977
Provider Name (Legal Business Name): ANGELS OF MERCY HOME HEALTH CARE INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/21/2007
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

127 MAIN STREET
LITTLETON NC
27850-7988
US

IV. Provider business mailing address

PO BOX 417
LITTLETON NC
27850-0417
US

V. Phone/Fax

Practice location:
  • Phone: 252-586-9836
  • Fax:
Mailing address:
  • Phone: 252-586-9836
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License NumberHC1966
License Number StateNC

VIII. Authorized Official

Name: MANIKA PARKER
Title or Position: ADMINISTRATOR
Credential:
Phone: 252-586-9836