Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Heavenly Angels Home of Care Pch, LLC

Organization Intellectual and/or Developmental Disabilities Residential Treatment Facility · NPI 1942561717

Heavenly Angels Home of Care Pch, LLC is an Intellectual and/or Developmental Disabilities Residential Treatment Facility in Ellenwood, Georgia. Licensed in Georgia. Registered with an NPI since 2012.

Licensed in
GA
In the registry since
2012
Specialties on file
2
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

5530 Swanson Rd
Ellenwood, GA 30294-3857
Phone: (404) 361-8485
Fax: (404) 393-9382
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Intellectual and/or Developmental Disabilities Residential Treatment Facility (primary) Taxonomy 320600000X · Licence PCH006734 (GA)
Physical Disabilities Residential Treatment Facility Taxonomy 320700000X · Licence PCH006734 (GA)

Record details

NPI number1942561717
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Ayanna Brown — Ceo · (404) 361-8485
NPI enumeratedJune 7, 2012
Last updated in NPPESJune 7, 2012
Mailing address5369 Sand Bar Ln, College Park, GA 30349-3058

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