Provider Demographics
NPI:1033765441
Name:ANGELS IN ACTION HOMECARE
Entity Type:Organization
Organization Name:ANGELS IN ACTION HOMECARE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:MRS
Authorized Official - First Name:ROBIN
Authorized Official - Middle Name:NICOLE
Authorized Official - Last Name:POWELL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:469-925-5159
Mailing Address - Street 1:955 BARRYMORE LN
Mailing Address - Street 2:
Mailing Address - City:DUNCANVILLE
Mailing Address - State:TX
Mailing Address - Zip Code:75137-4761
Mailing Address - Country:US
Mailing Address - Phone:469-380-4529
Mailing Address - Fax:
Practice Address - Street 1:955 BARRYMORE LN
Practice Address - Street 2:
Practice Address - City:DUNCANVILLE
Practice Address - State:TX
Practice Address - Zip Code:75137-4761
Practice Address - Country:US
Practice Address - Phone:469-380-4529
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-08-12
Last Update Date:2019-08-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care