Provider Demographics
NPI:1114083755
Name:ANGELS OF HANDS HOME HEALTH AGENCY CORP
Entity Type:Organization
Organization Name:ANGELS OF HANDS HOME HEALTH AGENCY CORP
Other - Org Name:ANGELS OF HANDS ADULT DAY CARE CENTER
Other - Org Type:Doing Business As
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:EMILY
Authorized Official - Middle Name:
Authorized Official - Last Name:BARNES
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:972-572-1873
Mailing Address - Street 1:PO BOX 181
Mailing Address - Street 2:
Mailing Address - City:DESOTO
Mailing Address - State:TX
Mailing Address - Zip Code:75123-0181
Mailing Address - Country:US
Mailing Address - Phone:972-217-9297
Mailing Address - Fax:972-572-1890
Practice Address - Street 1:2401 N HOUSTON SCHOOL RD
Practice Address - Street 2:
Practice Address - City:LANCASTER
Practice Address - State:TX
Practice Address - Zip Code:75134-2209
Practice Address - Country:US
Practice Address - Phone:972-572-1872
Practice Address - Fax:972-572-1890
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-12-28
Last Update Date:2021-11-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX008812251E00000X
261QA0600X, 310400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
No261QA0600XAmbulatory Health Care FacilitiesClinic/CenterAdult Day Care
No310400000XNursing & Custodial Care FacilitiesAssisted Living Facility
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX105128Medicaid
TX001021367Medicaid
TX001013073Medicaid
TX001013074Medicaid
TX001013073Medicaid