Provider Demographics
NPI:1063667707
Name:SITTING ANGELS HOME CARE
Entity Type:Organization
Organization Name:SITTING ANGELS HOME CARE
Other - Org Name:SITTING ANGELS HOME CARE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:ADMINISTRATOR/OWNER
Authorized Official - Prefix:MRS
Authorized Official - First Name:LASHUNDA
Authorized Official - Middle Name:SHAUNTA
Authorized Official - Last Name:DOTREY
Authorized Official - Suffix:
Authorized Official - Credentials:CNA
Authorized Official - Phone:903-234-0049
Mailing Address - Street 1:802 N HIGH ST STE A&C
Mailing Address - Street 2:
Mailing Address - City:LONGVIEW
Mailing Address - State:TX
Mailing Address - Zip Code:75601-5378
Mailing Address - Country:US
Mailing Address - Phone:903-234-0049
Mailing Address - Fax:903-234-1555
Practice Address - Street 1:802 N HIGH ST STE A&C
Practice Address - Street 2:
Practice Address - City:LONGVIEW
Practice Address - State:TX
Practice Address - Zip Code:75601-5378
Practice Address - Country:US
Practice Address - Phone:903-234-0049
Practice Address - Fax:903-234-1555
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-11-21
Last Update Date:2008-11-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX012232253Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care