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General NPI Number Information
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NPI Number | 1144036716
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Entity Type | Organization
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Legal Business Name | ANGELIC HOST HELPING HANDS, LLC
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Dates
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Enumeration Date | 12/09/2024
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Last Update Date | 12/09/2024
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Provider Practice Location Address
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Address Line | 401 W SUGAR CREEK RD
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City | CHARLOTTE
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State | NC
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Zip | 28213-6629
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Country | US
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Telephone | 803-524-1035
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Fax |
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Provider Business Mailing Address
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Address Line | 16523 BASTILLE DR
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City | CHARLOTTE
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State | NC
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Zip | 28278-8304
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | DIRECTOR
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Name | PENNY GILMORE
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Credential |
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Telephone | 803-524-1035
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251B00000X
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Taxonomy Name | Case Management Agency
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 251F00000X
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Taxonomy Name | Home Infusion Agency
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 374U00000X
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Taxonomy Name | Home Health Aide
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 385H00000X
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Taxonomy Name | Respite Care
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License Number |
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License Number State |
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Taxonomy #5
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Taxonomy Code | 251J00000X
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Taxonomy Name | Nursing Care Agency
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License Number |
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License Number State |
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