# ANGELIC HEARTS HOME CARE LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1245817048
- **Authorized official:** SHANTAVIA GUNN (OWNER)
- **Authorized official phone:** (478) 845-3389

## Contact information

- **Practice address:** 4900 MERCER UNIVERSITY DR STE 2, MACON, GA 31210-6239
- **Practice address phone:** (478) 845-3389
- **Practice address fax:** (470) 695-0467
- **Mailing address:** 4900 MERCER UNIVERSITY DR STE 2, MACON, GA 31210-6239
- **Mailing address phone:** (478) 845-3389
- **Mailing address fax:** (470) 695-0467

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 253Z00000X | In Home Supportive Care Agency | — | — | Yes |

## Other

- **Enumeration date:** 03/26/2021
- **Last updated:** 05/13/2026