NPI Code Details Logo

NPI 1194632786

NPI 1194632786 : HOLY ANGELS SERVICES INC. : BELMONT, NC

=====================================================
General NPI Number Information
=====================================================
    NPI Number           |    1194632786
-----------------------------------------------------
    Entity Type          |    Organization 
-----------------------------------------------------
    Legal Business Name  |    HOLY ANGELS SERVICES INC. 
-----------------------------------------------------

=====================================================
Dates
=====================================================
    Enumeration Date     |    08/27/2026
-----------------------------------------------------
    Last Update Date     |    08/27/2026
-----------------------------------------------------

=====================================================
Provider Practice Location Address
=====================================================
    Address Line         |    130 GRAYSON WAY 
-----------------------------------------------------
    City                 |    BELMONT
-----------------------------------------------------
    State                |    NC
-----------------------------------------------------
    Zip                  |    28012-2796
-----------------------------------------------------
    Country              |    US
-----------------------------------------------------
    Telephone            |    704-718-2517
-----------------------------------------------------
    Fax                  |    
-----------------------------------------------------

=====================================================
Provider Business Mailing Address
=====================================================
    Address Line         |    6600 W WILKINSON BLVD 
-----------------------------------------------------
    City                 |    BELMONT
-----------------------------------------------------
    State                |    NC
-----------------------------------------------------
    Zip                  |    28012-2796
-----------------------------------------------------
    Country              |    US
-----------------------------------------------------
    Telephone            |    704-718-2517
-----------------------------------------------------
    Fax                  |    
-----------------------------------------------------

=====================================================
Authorized Official
=====================================================
    Title or Position    |    CHIEF CLINICAL OFFICER
-----------------------------------------------------
    Name                 |     PAULA FAYE ATKINS 
-----------------------------------------------------
    Credential           |    
-----------------------------------------------------
    Telephone            |    704-825-4161
-----------------------------------------------------

=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
    Taxonomy Code        |    315P00000X
-----------------------------------------------------
    Taxonomy Name        |    Intellectual Disabilities Intermediate Care Facility
-----------------------------------------------------
    License Number       |    
-----------------------------------------------------
    License Number State |    
-----------------------------------------------------
Taxonomy #2
-----------------------------------------------------
    Taxonomy Code        |    320600000X
-----------------------------------------------------
    Taxonomy Name        |    Intellectual and/or Developmental Disabilities Residential Treatment Facility
-----------------------------------------------------
    License Number       |    
-----------------------------------------------------
    License Number State |    
-----------------------------------------------------



                        

Copyright © 2007-2026 Data Labs Health. All rights reserved.