Provider Demographics
NPI:1134286354
Name:ANGELS HOME HEALTHCARE SOLUTIONS, P.C.
Entity Type:Organization
Organization Name:ANGELS HOME HEALTHCARE SOLUTIONS, P.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:MS
Authorized Official - First Name:GLORIA
Authorized Official - Middle Name:
Authorized Official - Last Name:ORGAZI
Authorized Official - Suffix:
Authorized Official - Credentials:RN BSN
Authorized Official - Phone:708-283-0739
Mailing Address - Street 1:282 MAIN ST
Mailing Address - Street 2:BLDG 1 FLR. 2
Mailing Address - City:PARK FOREST
Mailing Address - State:IL
Mailing Address - Zip Code:60466-2098
Mailing Address - Country:US
Mailing Address - Phone:708-283-0739
Mailing Address - Fax:708-283-1154
Practice Address - Street 1:282 MAIN ST
Practice Address - Street 2:BLDG 1 FLR. 2
Practice Address - City:PARK FOREST
Practice Address - State:IL
Practice Address - Zip Code:60466-2098
Practice Address - Country:US
Practice Address - Phone:708-283-0739
Practice Address - Fax:708-283-1154
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-01-03
Last Update Date:2017-01-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL1010469251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
IL14-7906Medicare ID - Type UnspecifiedHOME HEALTH SERVICES