Organization · NPI-2
Angel Star Home Health, INC.
Registered Nurse · Charlotte, NC
NPI number1114948031
StatusActive
Last updated in NPPESJun 29, 2009
Details
- NPI
- 1114948031
- Entity type
- Organization (NPI-2)
- Legal business name
- Angel Star Home Health, INC.
- Organization subpart
- No
- Enumeration date
- Jul 23, 2006
- Last updated
- Jun 29, 2009
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 163W00000X | Registered Nurse | – | – | Yes |
| 3747P1801X | Technician, Personal Care Attendant | – | – | |
| 163WC1500X | Registered Nurse, Community Health | – | – | |
| 163WH0200X | Registered Nurse, Home Health | – | – | |
| 163WI0500X | Registered Nurse, Infusion Therapy | – | – | |
| 251E00000X | Home Health | – | – | |
| 332B00000X | Durable Medical Equipment & Medical Supplies | 332B00000X | NC | |
| 374U00000X | Home Health Aide | – | – | |
| 376K00000X | Nurse's Aide | – | – |
Other names
- Angel Star Home Health,inc. (Doing Business As)
Practice location
5100 Reagan DrSuite 15
Charlotte, NC 28206-3190
Phone 704-596-0162 · Fax 704-596-0869
Mailing address
9816 Nottinghill LnCharlotte, NC 28269-5006
Phone 704-596-0162 · Fax 704-596-0869
Authorized official
Veronica Lavon Mclendon
Vice President Of Operations
7045960162
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