Organization
ANGEL STAR HOME HEALTH, INC.
Active
Other names
Angel Star Home Health,Inc.
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. VERONICA LAVON MCLENDON (VICE PRESIDENT OF OPERATIONS)
(704) 596-0162
Entity
Organization
Contact information
Practice address
5100 REAGAN DR, SUITE 15, CHARLOTTE, NC 28206-3190
(704) 596-0162
(704) 596-0869
Mailing address
9816 NOTTINGHILL LN, CHARLOTTE, NC 28269-5006
(704) 596-0162
(704) 596-0869
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
—
—
163WC1500X
Community Health Registered Nurse
—
—
163WH0200X
Home Health Registered Nurse
—
—
163WI0500X
Infusion Therapy Registered Nurse
—
—
251E00000X
Home Health Agency
—
—
332B00000X
Durable Medical Equipment & Medical Supplies
332B00000X
NC
3747P1801X
Personal Care Attendant
—
—
374U00000X
Home Health Aide
—
—
376K00000X
Nurse's Aide
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3408430
CAPS
NC
05
—
6006020
OUTPATIENT MENTAL HEALTH
NC
05
—
6106549
LICENSED CLINICAL SOCIAL
NC
05
—
7704443
DME ID
NC
Enumeration date
07/23/2006
Last updated
06/29/2009
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