Provider Demographics
NPI:1124598156
Name:CARING ANGELS HOMECARE AGENCY, INC.
Entity Type:Organization
Organization Name:CARING ANGELS HOMECARE AGENCY, INC.
Other - Org Name:PATRIOT HOME CARE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CNO
Authorized Official - Prefix:
Authorized Official - First Name:MARI
Authorized Official - Middle Name:
Authorized Official - Last Name:WILLIS
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:216-970-1189
Mailing Address - Street 1:800 W 4TH ST STE 303
Mailing Address - Street 2:
Mailing Address - City:WILMINGTON
Mailing Address - State:DE
Mailing Address - Zip Code:19801-2044
Mailing Address - Country:US
Mailing Address - Phone:302-467-3535
Mailing Address - Fax:302-397-8998
Practice Address - Street 1:800 W 4TH ST STE 303
Practice Address - Street 2:
Practice Address - City:WILMINGTON
Practice Address - State:DE
Practice Address - Zip Code:19801-2044
Practice Address - Country:US
Practice Address - Phone:302-467-3535
Practice Address - Fax:302-397-8998
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-12-03
Last Update Date:2024-04-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
DE1124598156Medicaid