# ANGELITE HOMECARE CENTER, LLC

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

## Provider details

- **NPI number:** 1558727891
- **Authorized official:** CHINYERE CHUKKA RN (CEO/ NURSE ADMINISTRATOR)
- **Authorized official phone:** (678) 464-7284

## Contact information

- **Practice address:** 1524 N MARTIN LUTHER KING JR BLVD, SUITE A, AMERICUS, GA 31719-2284
- **Practice address phone:** (706) 621-7331
- **Practice address fax:** (877) 866-2128
- **Mailing address:** 8491 HOSPITAL DR, 176, DOUGLASVILLE, GA 30134-2412
- **Mailing address phone:** (678) 486-3841
- **Mailing address fax:** (770) 703-1553

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251F00000X | Home Infusion Agency | — | — | — |
| 251J00000X | Nursing Care Agency | — | — | — |
| 253Z00000X | In Home Supportive Care Agency | 129-R-1496 | GA | Yes |

## Other

- **Enumeration date:** 12/31/2015
- **Last updated:** 01/24/2023