Provider Demographics
NPI:1033544838
Name:ANGELS OF JOY HOME HEALTH SERVICES
Entity Type:Organization
Organization Name:ANGELS OF JOY HOME HEALTH SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/ADMINISTRATOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:KANDICE
Authorized Official - Middle Name:
Authorized Official - Last Name:ASHY-FERNSTROM
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:901-494-0666
Mailing Address - Street 1:3376 S EASTERN AVE STE 166
Mailing Address - Street 2:
Mailing Address - City:LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89169-3367
Mailing Address - Country:US
Mailing Address - Phone:702-893-3011
Mailing Address - Fax:702-893-3012
Practice Address - Street 1:3376 S EASTERN AVE STE 166
Practice Address - Street 2:
Practice Address - City:LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89169-3367
Practice Address - Country:US
Practice Address - Phone:702-893-3011
Practice Address - Fax:702-893-3012
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-09-11
Last Update Date:2013-09-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NV2000237-319251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health