Provider Demographics
NPI:1033446760
Name:ANGELS OF CARE HOME HEALTH, INCORPORATED
Entity Type:Organization
Organization Name:ANGELS OF CARE HOME HEALTH, INCORPORATED
Other - Org Name:ANGELS OF CARE HOME HEALTH, INCORPORATED
Other - Org Type:Doing Business As
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:MR
Authorized Official - First Name:RENJI
Authorized Official - Middle Name:
Authorized Official - Last Name:PHILIPOSE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:972-998-8690
Mailing Address - Street 1:330 MUNICIPAL DR STE 104C
Mailing Address - Street 2:
Mailing Address - City:RICHARDSON
Mailing Address - State:TX
Mailing Address - Zip Code:75080-3541
Mailing Address - Country:US
Mailing Address - Phone:214-484-1362
Mailing Address - Fax:214-432-6161
Practice Address - Street 1:330 MUNICIPAL DR STE 104C
Practice Address - Street 2:
Practice Address - City:RICHARDSON
Practice Address - State:TX
Practice Address - Zip Code:75080-3541
Practice Address - Country:US
Practice Address - Phone:214-484-1362
Practice Address - Fax:214-432-6161
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-11-18
Last Update Date:2024-03-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes251E00000XAgenciesHome HealthGroup - Single Specialty
No251C00000XAgenciesDay Training, Developmentally Disabled ServicesGroup - Single Specialty
No3747P1801XNursing Service Related ProvidersTechnicianPersonal Care AttendantGroup - Single Specialty