National Provider Identifier Database

ANGELIC COMMUNITY FAMILY SERVICES
Preferred Provider Organization

A group of physicians and/or hospitals who contract with an employer to provide services to their employees. In a PPO, the patient may got to the physician of his/her choice, even if that physician does not participate in the PPO, but the patient receives care at a lower benefit level.


Contact Information

ANGELIC COMMUNITY & FAMILY SERVICES
5601 EXECUTIVE CENTER DR
SUITE 220
CHARLOTTE, NC28212-8863
Phone: 704-532-6369
Fax: 866-293-6371
Website:
Specialty Taxonomy Code
* Preferred Provider Organization 305R00000X

* Indicates primary specialty

NPI Profile & details for ANGELIC COMMUNITY & FAMILY SERVICES

NPI Number 1710052683
Legal business name
LBN
ANGELIC COMMUNITY & FAMILY SERVICES
Authorized official ERIC MITCHELL - (CLINICAL DIRECTOR)
Entity Organization
Organization subpart No
Enumeration date 11/23/2006
Last updated 08/22/2020 - About 6 years ago
Sole proprietor1 Not specified
Identifiers
  • NC Medicaid: 3408218

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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