Provider Demographics
NPI:1104863778
Name:TOUCHED BY ANGELS HOME HEALTHCARE II, INC
Entity Type:Organization
Organization Name:TOUCHED BY ANGELS HOME HEALTHCARE II, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CO-OWNER/DIRECTOR
Authorized Official - Prefix:MS
Authorized Official - First Name:MARIE
Authorized Official - Middle Name:BOWMAN
Authorized Official - Last Name:HAGERMAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:336-221-9998
Mailing Address - Street 1:116 W PINE ST
Mailing Address - Street 2:
Mailing Address - City:GRAHAM
Mailing Address - State:NC
Mailing Address - Zip Code:27253-2818
Mailing Address - Country:US
Mailing Address - Phone:336-221-9998
Mailing Address - Fax:336-221-9756
Practice Address - Street 1:116 W PINE ST
Practice Address - Street 2:
Practice Address - City:GRAHAM
Practice Address - State:NC
Practice Address - Zip Code:27253-2818
Practice Address - Country:US
Practice Address - Phone:336-221-9998
Practice Address - Fax:336-221-9756
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-06-01
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCHC 2422251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC3409588Medicaid
NC6601003Medicaid