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ANGELS AT DIVINE RETREAT LLC
NPI 1033798525
Assisted Living Facility in Macon, GA

Active since April 03, 2021
3065 JEFFERSONVILLE RD, MACON, GA 31217(478) 257-7136(478) 257-7137 Get Directions Write a Review

NPPES record last updated: April 3, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Angels At Divine Retreat Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ANGELS AT DIVINE RETREAT LLC (NPI 1033798525), doing business as Angels Divine Personal Care Home, is a healthcare organization registered as an assisted living facility in Macon, Georgia and active in the NPI registry since April 2021. The organization lists Tammie T Barksdale, Owner/administrator, as its authorized official.

NPPES Registry Identity

NPI1033798525
Entity TypeOrganization
Primary Taxonomy310400000X
Legal Business NameANGELS AT DIVINE RETREAT LLC
Location Address3065 JEFFERSONVILLE RDMacon, GA 31217-5117
Mailing Address3065 Jeffersonville RdMacon, GA 31217-5117 · (478) 257-7136 · Fax (478) 257-7137
Phone(478) 257-7136
Fax(478) 257-7137
Organization SubpartNo
Authorized OfficialTammie T BarksdaleOwner/administrator · (478) 257-7136
Enumeration DateApril 3, 2021
NPPES CertifiedApril 3, 2021
✔ NPI 1033798525 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyAssisted Living FacilityNursing & Custodial Care Facilities
Taxonomy Code310400000X
Definition
A facility providing supportive services to individuals who can function independently in most areas of activity, but need assistance and/or monitoring to assure safety and well being.
3065 JEFFERSONVILLE RD, Macon, GA 31217
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Other Names 1

Doing Business AsAngels Divine Personal Care Home

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Angels At Divine Retreat LLC's NPI number?

The NPI number for Angels At Divine Retreat LLC is 1033798525. It was assigned to this organization in the NPPES registry on April 3, 2021. The provider is doing business as Angels Divine Personal Care Home.

Where is Angels At Divine Retreat LLC located?

Angels At Divine Retreat LLC is located at 3065 Jeffersonville Rd, Macon, GA 31217. The listed phone number is (478) 257-7136.

What is Angels At Divine Retreat LLC's specialty?

The primary specialty registered for this NPI is Assisted Living Facility with taxonomy code 310400000X.

When was this NPI record last updated?

The NPPES record for Angels At Divine Retreat LLC was last updated on April 3, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.