Healthcare Provider Details

I. General information

NPI: 1427183979
Provider Name (Legal Business Name): TOUCHED BY ANGELS HOME HEALTHCARE, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/23/2007
Last Update Date: 11/20/2019
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

16 OAK GROVE ST
MT HOLLY NC
28120
US

IV. Provider business mailing address

1515 MOCKINGBIRD LN STE 520
CHARLOTTE NC
28209-3297
US

V. Phone/Fax

Practice location:
  • Phone: 704-827-0772
  • Fax:
Mailing address:
  • Phone: 704-522-6144
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License NumberHC1709
License Number StateNC
# 2
Primary TaxonomyY
Taxonomy Code253Z00000X
TaxonomyIn Home Supportive Care Agency
License Number
License Number State

VIII. Authorized Official

Name: IVAN BELOV
Title or Position: DIRECTOR
Credential:
Phone: 704-522-6144