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4ANGELS OF BYROMVILLE
NPI 1376321430
Nursing Care in Byromville, GA

Active since September 20, 2023CLIA 11D2293698 · Waiver
712 PATTERSON ST, BYROMVILLE, GA 31007(470) 349-4507 Get Directions Write a Review

NPPES record last updated: November 14, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About 4angels Of Byromville NPPES

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

4ANGELS OF BYROMVILLE (NPI 1376321430) is a healthcare organization registered as a nursing care in Byromville, Georgia and active in the NPI registry since September 2023. The organization holds a CLIA Waiver certificate valid through November 13, 2027 and lists Slegna Healthcare Consultant, Administrator, as its authorized official.

NPPES Registry Identity

NPI1376321430
Entity TypeOrganization
Primary Taxonomy251J00000X
Legal Business Name4ANGELS OF BYROMVILLE HEALTHCARE CENTER
Location Address712 PATTERSON STByromville, GA 31007-3760
Mailing Address712 Patterson StByromville, GA 31007-3760 · (478) 286-7010
Phone(470) 349-4507
Organization SubpartNo
Authorized OfficialSlegna Healthcare ConsultantAdministrator · (470) 349-4507
Enumeration DateSeptember 20, 2023
Last NPPES UpdateNovember 14, 2024
NPPES CertifiedNovember 14, 2024
✔ NPI 1376321430 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNursing CareAgencies
Taxonomy Code251J00000X
Definition
A Nursing Care Agency is an entity that provides skilled nursing care through the services of a Registered Nurse (RN) or a Licensed Practical Nurse (LPN), by employees, contracted individuals, or via a registry, in a variety of settings. The agency may engage in providing private duty nursing and/or staffing services.
712 PATTERSON ST, Byromville, GA 31007
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Other Names 2

Doing Business As4angels Of Byromville
Doing Business As4angels Healthcare

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 11D2293698

4angels Of Byromville Healthcare Center · Byromville, GA
Active · expires Nov 13, 2027
CLIA Number11D2293698
Laboratory TypeSkilled Nursing Facility/Nursing Facility
Certificate Effective DateNovember 14, 2025
Certificate Expiration DateNovember 13, 2027
Laboratory DirectorNancy Musah
Laboratory Phone(470) 349-4507
Laboratory Location4angels Of Byromville Healthcare Center712 Patterson Street, Byromville, GA 31007
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

RETIRE CARE INVESTMENT COMPANY
Durable Medical Equipment & Medical Supplies (Parenteral & Enteral Nutrition)
712 PATTERSON ST
BYROMVILLE, GA 31007
Dooly County (229) 268-7510
PINEHILL SNF OPERATOR LLC
Skilled Nursing Facility
712 PATTERSON ST
BYROMVILLE, GA 31007
Dooly County (478) 433-5711
PHNH LLC
Skilled Nursing Facility
712 PATTERSON ST
BYROMVILLE, GA 31007
Dooly County (478) 433-5711

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 4angels Of Byromville Healthcare Center's NPI number?

The NPI number for 4angels Of Byromville Healthcare Center is 1376321430. It was assigned to this organization in the NPPES registry on September 20, 2023. The provider is doing business as 4angels Of Byromville and 4angels Healthcare.

Where is 4angels Of Byromville Healthcare Center located?

4angels Of Byromville Healthcare Center is located at 712 Patterson St, Byromville, GA 31007. The listed phone number is (470) 349-4507.

What is 4angels Of Byromville Healthcare Center's specialty?

The primary specialty registered for this NPI is Nursing Care with taxonomy code 251J00000X.

Does 4angels Of Byromville Healthcare Center hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 11D2293698) is associated with this NPI, valid through November 13, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for 4angels Of Byromville Healthcare Center was last updated on November 14, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 20 months 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.