Provider Demographics
NPI:1073905527
Name:ANGEL CARE VNA, LLC
Entity Type:Organization
Organization Name:ANGEL CARE VNA, LLC
Other - Org Name:ANGEL CARE VISITING NURSE AGENCY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:FRANCES
Authorized Official - Middle Name:
Authorized Official - Last Name:IGIEBOR
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:888-982-6435
Mailing Address - Street 1:33 NAGOG PARK STE 201
Mailing Address - Street 2:
Mailing Address - City:ACTON
Mailing Address - State:MA
Mailing Address - Zip Code:01720-3427
Mailing Address - Country:US
Mailing Address - Phone:888-982-6435
Mailing Address - Fax:781-998-3059
Practice Address - Street 1:33 NAGOG PARK STE 201
Practice Address - Street 2:
Practice Address - City:ACTON
Practice Address - State:MA
Practice Address - Zip Code:01720-3427
Practice Address - Country:US
Practice Address - Phone:888-982-6435
Practice Address - Fax:781-998-3059
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-02-20
Last Update Date:2023-12-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health