Provider Demographics
NPI:1972380608
Name:ROBIN'S NEST OF ANGELS LLC
Entity Type:Organization
Organization Name:ROBIN'S NEST OF ANGELS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:ROBIN
Authorized Official - Middle Name:ROCKSAND
Authorized Official - Last Name:MORGAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:704-807-7028
Mailing Address - Street 1:1235 EAST BLVD STE E364
Mailing Address - Street 2:
Mailing Address - City:CHARLOTTE
Mailing Address - State:NC
Mailing Address - Zip Code:28203-5870
Mailing Address - Country:US
Mailing Address - Phone:704-737-9338
Mailing Address - Fax:704-731-0808
Practice Address - Street 1:4111 ROSE LAKE DR STE E
Practice Address - Street 2:
Practice Address - City:CHARLOTTE
Practice Address - State:NC
Practice Address - Zip Code:28217-2864
Practice Address - Country:US
Practice Address - Phone:704-807-7028
Practice Address - Fax:704-731-0808
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-09-14
Last Update Date:2023-09-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health