Provider Demographics
NPI:1144408204
Name:ANGEL HOUSE FCH LLC
Entity Type:Organization
Organization Name:ANGEL HOUSE FCH LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:BIANKA
Authorized Official - Middle Name:F
Authorized Official - Last Name:GRAY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:828-582-7466
Mailing Address - Street 1:60 HORNOT CIR APT D
Mailing Address - Street 2:
Mailing Address - City:ASHEVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:28806-3974
Mailing Address - Country:US
Mailing Address - Phone:828-582-7466
Mailing Address - Fax:877-712-4866
Practice Address - Street 1:60 HORNOT CIR APT F
Practice Address - Street 2:
Practice Address - City:ASHEVILLE
Practice Address - State:NC
Practice Address - Zip Code:28806-3974
Practice Address - Country:US
Practice Address - Phone:828-252-4959
Practice Address - Fax:877-712-4866
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-01-31
Last Update Date:2023-11-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes311ZA0620XNursing & Custodial Care FacilitiesCustodial Care FacilityAdult Care Home