Provider Demographics
NPI:1083090047
Name:AMAZING ANGELS HOME CARE
Entity Type:Organization
Organization Name:AMAZING ANGELS HOME CARE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/ADMINISTRATOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:VERONICA
Authorized Official - Middle Name:VINTON
Authorized Official - Last Name:DUARTE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:832-833-5180
Mailing Address - Street 1:2002 MARTIN LAKE CT
Mailing Address - Street 2:
Mailing Address - City:RICHMOND
Mailing Address - State:TX
Mailing Address - Zip Code:77406-6979
Mailing Address - Country:US
Mailing Address - Phone:832-833-5180
Mailing Address - Fax:832-363-3296
Practice Address - Street 1:2002 MARTIN LAKE CT
Practice Address - Street 2:
Practice Address - City:RICHMOND
Practice Address - State:TX
Practice Address - Zip Code:77406-6979
Practice Address - Country:US
Practice Address - Phone:832-833-5180
Practice Address - Fax:832-363-3296
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-07-31
Last Update Date:2015-07-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health