P Praxis·MD
● Active Type 2 · Organization

Heavenly Angels Home Of Care Pch, Llc

Residential Treatment Facility, Intellectual and/or Developmental Disabilities·Ellenwood, GA· NPI 1942561717 · Enumerated 2012 · 13 years on NPI
Heavenly Angels Home Of Care Pch, Llc is 1 of 168 residential treatment facility, intellectual and/or developmental disabilities organizations in Georgia.
NPI age
13 years
Enumerated 2012-06-07
Primary specialty
Residential Treatment Facility, Intellectual and/or Developmental Disabilities
Plus 1 secondary
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
Brown
Ceo
Last NPPES update
2012-06-07
Source: monthly bulk 2026-05

How this organization compares

Across 168 active residential treatment facility, intellectual and/or developmental disabilities providers in Georgia.

NPI age
13 years
≈ at median (14 yr)
Practice locations
1
0 secondary on file
Subspecialties
1
In the 17% of peers with subspecialties

NPI lifetime · 2012 → 2026

2012-06Enumerated in NPPES
2012 2026

Where they practice

Primary practice location
5530 Swanson Rd
Ellenwood, GA 302943857
📞 4043618485fax 4043939382
Mailing address
5369 Sand Bar Ln
College Park, GA 303493058
📞 4043618485fax 4043939382

Authorized official

Ayanna R Brown
Ceo
📞 4043618485

Specialties

  • Residential Treatment Facility, Intellectual and/or Developmental Disabilities Primary
    A residential facility that provides habilitation services and other care and treatment to adults or children diagnosed with developmental and intellectual disabilities and are not able to live independently.
    GA license #PCH006734 taxonomy 320600000X
  • Residential Treatment Facility, Physical Disabilities
    A residential facility that provides habilitation services and other care and treatment to adults or children diagnosed with physical disabilities and are not able to live independently.
    GA license #PCH006734 taxonomy 320700000X

Practice context

Single-site organization. Only one practice location on file.

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How to verify this organization

  1. Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
  2. Verify the organization is in good standing.Cross-check with the state's business registration and any applicable licensing boards.
  3. Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.

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