MEDICARE: ANGELS ASSISTING HOME CARE

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	253Z00000X	In Home Supportive Care Agency

General Provider Information

NPI Number	:	1477411270
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ANGELS ASSISTING HOME CARE

Provider Business Mailing Address
First Line	:	10330 COCHRAN RIDGE AVE
Second Line	:
City	:	CHARLOTTE
State	:	NC
Zip	:	28213-4360
Country	:	US
Telephone Number	:	704-496-3792
Fax Number	:	704-496-3792

Provider Business Practice Location Address
First Line	:	5736 N TRYON ST UNIT 225
Second Line	:
City	:	CHARLOTTE
State	:	NC
Zip	:	28213-6850
Country	:	US
Telephone Number	:	704-496-3792
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	JILL JACKSON
Credential	:
Telephone Number	:	704-496-3792

Provider Enumeration Date	:	01/12/2026
Last Update Date	:	01/12/2026

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Directions to “ANGELS ASSISTING HOME CARE ” Practice Location

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