Provider Demographics
NPI:1033323233
Name:ANGEL CARE, INC.
Entity Type:Organization
Organization Name:ANGEL CARE, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MRS
Authorized Official - First Name:SUE
Authorized Official - Middle Name:
Authorized Official - Last Name:SHIPP
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:325-735-2512
Mailing Address - Street 1:110 E FORREST ST
Mailing Address - Street 2:
Mailing Address - City:ROTAN
Mailing Address - State:TX
Mailing Address - Zip Code:79546-4503
Mailing Address - Country:US
Mailing Address - Phone:325-735-2512
Mailing Address - Fax:325-735-3357
Practice Address - Street 1:110 E FORREST ST
Practice Address - Street 2:
Practice Address - City:ROTAN
Practice Address - State:TX
Practice Address - Zip Code:79546-4503
Practice Address - Country:US
Practice Address - Phone:325-735-2512
Practice Address - Fax:325-735-3357
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-05-09
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes315P00000XNursing & Custodial Care FacilitiesIntermediate Care Facility, Intellectual Disabilities