Provider Demographics
NPI:1184011231
Name:ANGEL'S COMMUNITY CARE SERVICES LLC
Entity Type:Organization
Organization Name:ANGEL'S COMMUNITY CARE SERVICES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER / PROVIDER
Authorized Official - Prefix:
Authorized Official - First Name:ANGELA
Authorized Official - Middle Name:L
Authorized Official - Last Name:BROWN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:312-316-7397
Mailing Address - Street 1:8323 S PEORIA ST LOWR LEVEL
Mailing Address - Street 2:
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60620-3163
Mailing Address - Country:US
Mailing Address - Phone:312-316-7397
Mailing Address - Fax:
Practice Address - Street 1:8323 S PEORIA ST LOWR LEVEL
Practice Address - Street 2:
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60620-3163
Practice Address - Country:US
Practice Address - Phone:312-316-7397
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-04-15
Last Update Date:2015-04-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health