HEART OF AN ANGEL NURSING SOLUTIONS, LLC
NPI 1497365340
In Home Supportive Care in Conyers, GA
NPI Status: Active since August 05, 2020
Contact Information
612 KESWICK VILLAGE CT NE
CONYERS, GA
ZIP 30013
Phone: (678) 800-5091
Fax: (678) 609-0592
- Organization
- In Home Supportive Care
- CLIA Number: 11D2190777
- CLIA Cert. Type: Independent
- CLIA Exp. Date: 08-18-2026
About HEART OF AN ANGEL NURSING SOLUTIONS, LLC
This page provides the complete NPI Profile along with additional information for Heart Of An Angel Nursing Solutions, Llc, a provider established in Conyers, Georgia operating as a In Home Supportive Care. The healthcare provider is registered in the NPI registry with number 1497365340 assigned on August 2020. The practitioner's primary taxonomy code is 253Z00000X. The provider is registered as an organization and their NPI record was last updated 2 years ago. Heart Of An Angel Nursing Solutions, Llc operates as a multi-specialty business group with one or more individual providers who practice different areas of specialization. The authorized official of this NPI record is Quatina Willis Lpn (Administrator)
- NPI
- 1497365340
- Provider Name
- HEART OF AN ANGEL NURSING SOLUTIONS, LLC
- Entity Type
- Organization
- Location Address
- 612 KESWICK VILLAGE CT NE CONYERS, GA 30013
- Location Phone
- (678) 800-5091
- Location Fax
- (678) 609-0592
- Mailing Address
- PO BOX 80536 CONYERS, GA 30013
- Mailing Phone
- (470) 914-9457
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- Yes
- Enumeration Date
- 08-05-2020
- Last Update Date
- 03-23-2023
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
In Home Supportive Care
- Taxonomy Code
- 253Z00000X
- Type
- Agencies
- Taxonomy Description
- An In Home Supportive Care Agency provides services in the patient's home with the goal of enabling the patient to remain at home. The services provided may include personal care services such as hands-on assistance with activities of daily living (ADLs), e.g., eating, bathing, dressing, and bladder and bowel requirements; homemaker services and instrumental activities of daily living (IADLs), e.g., taking medications, shopping for groceries, laundry, housekeeping, and companionship; and/or supervision or cuing so that a person can perform tasks themselves.
Secondary Taxonomies
The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.
| No. | Taxonomy Code | Type | Classification / Specialization |
License No. (State) |
|---|---|---|---|---|
| 1 | 246RM2200X | Technologists, Technicians & Other Technical Service Providers | Technician, Pathology |
Group Taxonomy 193200000X MULTI-SPECIALTY GROUP
This provider is a business group of one or more individual practitioners, who practice with different areas of specialization.
CLIA Information
The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:
- CLIA Number
- 11D2190777
- Facility Type
- Independent
- Certificate Effective Date
- August 19, 2024
- Certificate Expiration Date
- August 18, 2026
- Laboratory Director
- WILLIS L. QUATINA
- Certificate Type
- Certificate of Waiver
- Certificate Type Description
- This CLIA certificate is issued to Heart Of An Angel Nursing Solutions, Llc to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.
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NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
| Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
| 1 | 4 | 9 | 7 | 3 | 6 | 5 | 3 | 4 | 0 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 4 | 18 | 7 | 6 | 6 | 10 | 3 | 8 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 4 + 1 + 8 + 7 + 6 + 6 + 1 + 0 + 3 + 8 + 24 = 70 | |||||||||
| Step 3: because the number obtained in step 2 ends in zero, the check digit is zero. | |||||||||
| 0 | |||||||||
The NPI number 1497365340 is valid because the calculated check digit 0 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 3 providers are registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1174260830 | EQW SOLUTIONS Organization | Non-emergency Medical Transport (VAN) | 612 KESWICK VILLAGE CT NE CONYERS, GA 30013 (678) 800-5091 |
| 1538417886 | MRS. QUATINA WILLIS LPN Individual | Licensed Practical Nurse | 612 KESWICK VILLAGE CT NE CONYERS, GA 30013 (678) 281-4542 |
| 1689376493 | THE RESOURCEFUL NURSE CONCIERGE SERVICE, LLC Organization | General Practice | 612 KESWICK VILLAGE CT NE CONYERS, GA 30013 (678) 800-5091 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1497365340, enumerated in the NPI registry as an "organization" on August 05, 2020
The provider is located at 612 Keswick Village Ct Ne Conyers, Ga 30013 and the phone number is (678) 800-5091
This medical organization specializes in In Home Supportive Care with taxonomy code 253Z00000X
The provider's CLIA number is 11D2190777 for a "independent" facility with a CLIA Certificate of Waiver. This CLIA certificate is issued to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria..
This NPI record was last updated on August 05, 2020. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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