Provider Demographics
NPI:1235911447
Name:GIFTED ANGELS LLC
Entity Type:Organization
Organization Name:GIFTED ANGELS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MS
Authorized Official - First Name:NARINA
Authorized Official - Middle Name:O
Authorized Official - Last Name:GOMES
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:704-421-0334
Mailing Address - Street 1:3020 PROSPERITY CHURCH RD # I-630
Mailing Address - Street 2:
Mailing Address - City:CHARLOTTE
Mailing Address - State:NC
Mailing Address - Zip Code:28269-7197
Mailing Address - Country:US
Mailing Address - Phone:704-421-0334
Mailing Address - Fax:704-565-4104
Practice Address - Street 1:8647 EARTHENWARE DR
Practice Address - Street 2:
Practice Address - City:CHARLOTTE
Practice Address - State:NC
Practice Address - Zip Code:28269-7353
Practice Address - Country:US
Practice Address - Phone:704-598-6603
Practice Address - Fax:704-565-4104
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-10-23
Last Update Date:2023-10-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health