Provider Demographics
NPI:1003593948
Name:ANGELS COMING HOME HEALTH AGENCY LLC
Entity Type:Organization
Organization Name:ANGELS COMING HOME HEALTH AGENCY LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:KEVIN
Authorized Official - Middle Name:BILAL
Authorized Official - Last Name:CHRISTIAN
Authorized Official - Suffix:SR
Authorized Official - Credentials:
Authorized Official - Phone:214-960-7342
Mailing Address - Street 1:4447 N CENTRAL EXPY STE 110
Mailing Address - Street 2:PMB 114
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75205-4246
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:8035 E R L THORNTON FWY STE 436
Practice Address - Street 2:
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75228-1012
Practice Address - Country:US
Practice Address - Phone:214-960-7342
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-07-03
Last Update Date:2023-07-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health