# ANGELO'S CARE HOME, INC.

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

## Provider details

- **NPI number:** 1487718540
- **Authorized official:** CINDY LOCKLEAR (DIRECTOR)
- **Authorized official phone:** (910) 521-1895

## Contact information

- **Practice address:** 707 UNION CHAPEL RD, PEMBROKE, NC 28372-8689
- **Practice address phone:** (910) 521-1895
- **Practice address fax:** (910) 521-7220
- **Mailing address:** 10091 US HIGHWAY 74 W, MAXTON, NC 28364-8936
- **Mailing address phone:** (910) 521-1895
- **Mailing address fax:** (910) 521-7220

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251B00000X | Case Management Agency | — | NULL | — |
| 251E00000X | Home Health Agency | HC4768 | NC | — |
| 251J00000X | Nursing Care Agency | — | NULL | — |
| 251S00000X | Community/Behavioral Health Agency | MHL-078-304 | NC | — |
| 251S00000X | Community/Behavioral Health Agency | — | NULL | — |
| 253Z00000X | In Home Supportive Care Agency | HC4768 | NC | — |
| 253Z00000X | In Home Supportive Care Agency | — | NULL | — |
| 320600000X | Intellectual and/or Developmental Disabilities Residential Treatment Facility | MHL-078-138 | NC | Yes |
| 320600000X | Intellectual and/or Developmental Disabilities Residential Treatment Facility | MHL-078-275 | NC | — |
| 320700000X | Physical Disabilities Residential Treatment Facility | MHL-078-138 | NC | — |
| 385H00000X | Respite Care | MHL-078-138 | NC | — |
| 385H00000X | Respite Care | MHL-078-275 | NC | — |

## Other

- **Enumeration date:** 12/21/2006
- **Last updated:** 08/15/2019