Angelic Community &And Family Services

LBN: Angelic Community &And Family Services
Angelic Community &And Family Services is an health care organization with primary practice located at 5601 Executive Center Dr Suite 220, Charlotte NC 28212-8863. The organization recently has only one registered license in Managed Care Organizations / Preferred Provider Organization, which is considered as the primary health care specialty. Angelic Community &And Family Services can be contacted via phone (866) 391-6369, or through Mitchell, Eric via phone (704) 532-6369.

Contact Information

Primary practice address
5601 Executive Center Dr Suite 220 Charlotte NC 28212-8863
Phone: (866) 391-6369
Fax: (866) 293-6371
Website:
Map and Directions
Authorized official contact:
Name: Mitchell, Eric
Phone: (704) 532-6369

Health care specialties

SpecialtyCodeLicense #State
Managed Care Organizations / Preferred Provider Organization 305R00000X

Profile Details

NPI number 1134328636
LBN Legal business name Angelic Community &And Family Services
DBA Doing business as
Authorized official Mitchell, Eric
Entity Organization
Organization subpart 1 No
Enumeration date Jul 13th, 2007
Last updated Jul 13th, 2007 - about 19 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1134328636 NPPES
North Carolina MEDICAID 8301884B
North Carolina MEDICAID 8301885B

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