Provider Demographics
NPI:1083315303
Name:D AND M LLC
Entity Type:Organization
Organization Name:D AND M LLC
Other - Org Name:ANGELS OF HOME HEALTH
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:AMILCAR
Authorized Official - Middle Name:
Authorized Official - Last Name:NDITIFEI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:704-234-8757
Mailing Address - Street 1:2003 MILLBROOK LN
Mailing Address - Street 2:
Mailing Address - City:MATTHEWS
Mailing Address - State:NC
Mailing Address - Zip Code:28104-2948
Mailing Address - Country:US
Mailing Address - Phone:704-234-8757
Mailing Address - Fax:704-234-8717
Practice Address - Street 1:2505 OLD MONROE RD UNIT A
Practice Address - Street 2:
Practice Address - City:MATTHEWS
Practice Address - State:NC
Practice Address - Zip Code:28104-9730
Practice Address - Country:US
Practice Address - Phone:704-234-8757
Practice Address - Fax:704-234-8717
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-03-14
Last Update Date:2023-05-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care
No251E00000XAgenciesHome Health