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HEART OF AN ANGEL NURSING SOLUTIONS, LLC
NPI 1497365340
In Home Supportive Care in Conyers, GA

Active since August 05, 2020CLIA 11D2190777 · Waiver
612 KESWICK VILLAGE CT NE, CONYERS, GA 30013(678) 800-5091(678) 609-0592 Get Directions Write a Review

NPPES record last updated: March 23, 2023. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Mar 23, 2023, Aug 5, 2020 (2 updates tracked since 2020).

About Heart Of An Angel Nursing Solutions, Llc NPPES

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

HEART OF AN ANGEL NURSING SOLUTIONS, LLC (NPI 1497365340) is a healthcare organization registered as an in home supportive care in Conyers, Georgia and active in the NPI registry since August 2020. The organization holds a CLIA Waiver certificate valid through August 18, 2026 and lists Quatina Willis, Administrator, as its authorized official.

NPPES Registry Identity

NPI1497365340
Entity TypeOrganization
Primary Taxonomy253Z00000X
Legal Business NameHEART OF AN ANGEL NURSING SOLUTIONS, LLC
Location Address612 KESWICK VILLAGE CT NEConyers, GA 30013-6523
Mailing AddressPo Box 80536Conyers, GA 30013-8536 · (470) 914-9457
Phone(678) 800-5091
Fax(678) 609-0592
Organization SubpartYes
Authorized OfficialQuatina WillisAdministrator · (470) 914-9457
Enumeration DateAugust 5, 2020
Last NPPES UpdateMarch 23, 20232 updates tracked since enumeration
NPPES CertifiedMarch 23, 2023
✔ NPI 1497365340 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyIn Home Supportive CareAgencies
Taxonomy Code253Z00000X
Definition
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.
Also ListedTechnician, Pathology · Medical LaboratoryTaxonomy 246RM2200X
612 KESWICK VILLAGE CT NE, Conyers, GA 30013
Open in Google Maps ↗

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

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 11D2190777

Heart Of An Angel Nursing Solutions, LLC · Conyers, GA
Active · expires Aug 18, 2026
CLIA Number11D2190777
Laboratory TypeIndependent
Certificate Effective DateAugust 19, 2024
Certificate Expiration DateAugust 18, 2026
Laboratory DirectorWillis L. Quatina
Laboratory Phone(678) 938-4314
Laboratory LocationHeart Of An Angel Nursing Solutions, LLC2004 Eastview Parkway, Suite 207, Conyers, GA 30013
CLIA data matches this NPI record on: Name
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.

EQW SOLUTIONS
Non-emergency Medical Transport (VAN)
612 KESWICK VILLAGE CT NE
CONYERS, GA 30013
Rockdale County (678) 800-5091
MRS. QUATINA WILLIS LPN
Licensed Practical Nurse
612 KESWICK VILLAGE CT NE
CONYERS, GA 30013
Rockdale County (678) 281-4542
THE RESOURCEFUL NURSE CONCIERGE SERVICE, LLC
General Practice
612 KESWICK VILLAGE CT NE
CONYERS, GA 30013
Rockdale County (678) 800-5091

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 Heart Of An Angel Nursing Solutions, LLC's NPI number?

The NPI number for Heart Of An Angel Nursing Solutions, LLC is 1497365340. It was assigned to this organization in the NPPES registry on August 5, 2020.

Where is Heart Of An Angel Nursing Solutions, LLC located?

Heart Of An Angel Nursing Solutions, LLC is located at 612 Keswick Village Ct NE, Conyers, GA 30013. The listed phone number is (678) 800-5091.

What is Heart Of An Angel Nursing Solutions, LLC's specialty?

The primary specialty registered for this NPI is In Home Supportive Care with taxonomy code 253Z00000X.

Does Heart Of An Angel Nursing Solutions, LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 11D2190777) is associated with this NPI, valid through August 18, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Heart Of An Angel Nursing Solutions, LLC was last updated on March 23, 2023. NPI Profile syncs with the weekly NPPES data releases published by CMS.