Healthcare Provider Details

I. General information

NPI: 1538072509
Provider Name (Legal Business Name): MICHAEL'S ANGELS HOME CARE SERVICES, INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/23/2026
Last Update Date: 09/23/2026
Certification Date: 09/23/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2109 SAINT ANDREW ST STE 10
TARBORO NC
27886-2146
US

IV. Provider business mailing address

PO BOX 1454
TARBORO NC
27886-1454
US

V. Phone/Fax

Practice location:
  • Phone: 919-437-7234
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code253Z00000X
TaxonomyIn Home Supportive Care Agency
License Number
License Number State

VIII. Authorized Official

Name: SHANELL KNIGHT
Title or Position: DIRECTOR
Credential:
Phone: 919-437-7234