Provider Demographics
NPI:1043774029
Name:ANGEL NETWORK INC.
Entity Type:Organization
Organization Name:ANGEL NETWORK INC.
Other - Org Name:VISITING ANGELS OF RENTON
Other - Org Type:Doing Business As
Authorized Official - Title/Position:DIRECTOR/OWNER
Authorized Official - Prefix:
Authorized Official - First Name:SOPHIA
Authorized Official - Middle Name:
Authorized Official - Last Name:MOIKOBU
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:425-282-5505
Mailing Address - Street 1:16400 SOUTHCENTER PKWY STE 208
Mailing Address - Street 2:
Mailing Address - City:TUKWILA
Mailing Address - State:WA
Mailing Address - Zip Code:98188-3383
Mailing Address - Country:US
Mailing Address - Phone:425-282-5550
Mailing Address - Fax:425-282-5324
Practice Address - Street 1:16400 SOUTHCENTER PKWY STE 208
Practice Address - Street 2:
Practice Address - City:TUKWILA
Practice Address - State:WA
Practice Address - Zip Code:98188-3383
Practice Address - Country:US
Practice Address - Phone:425-282-5505
Practice Address - Fax:425-282-5324
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-01-24
Last Update Date:2023-09-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes253Z00000XAgenciesIn Home Supportive CareGroup - Multi-Specialty
No251E00000XAgenciesHome HealthGroup - Multi-Specialty
No372500000XNursing Service Related ProvidersChore ProviderGroup - Multi-Specialty
No372600000XNursing Service Related ProvidersAdult CompanionGroup - Multi-Specialty
No374U00000XNursing Service Related ProvidersHome Health AideGroup - Multi-Specialty
No376J00000XNursing Service Related ProvidersHomemakerGroup - Multi-Specialty
No376K00000XNursing Service Related ProvidersNurse's AideGroup - Multi-Specialty