Provider Demographics
NPI:1124220959
Name:ANGELA'S ANGELS HOME HEALTH AGENCY
Entity Type:Organization
Organization Name:ANGELA'S ANGELS HOME HEALTH AGENCY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MS
Authorized Official - First Name:RUTH
Authorized Official - Middle Name:A
Authorized Official - Last Name:TARQUINI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:201-880-1084
Mailing Address - Street 1:912 KINDERKAMACK ROAD
Mailing Address - Street 2:SUITE 6
Mailing Address - City:RIVER EDGE
Mailing Address - State:NJ
Mailing Address - Zip Code:07661
Mailing Address - Country:US
Mailing Address - Phone:201-483-6750
Mailing Address - Fax:201-483-6751
Practice Address - Street 1:912 KINDERKAMACK ROAD
Practice Address - Street 2:SUITE 6
Practice Address - City:RIVER EDGE
Practice Address - State:NJ
Practice Address - Zip Code:07661
Practice Address - Country:US
Practice Address - Phone:201-483-6750
Practice Address - Fax:201-483-6751
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-06-04
Last Update Date:2008-08-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJHP0086600251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health