Provider Demographics
NPI:1194866251
Name:ANGELKARE HOME CAREGIVING SERVICES
Entity Type:Organization
Organization Name:ANGELKARE HOME CAREGIVING SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:GERALD
Authorized Official - Middle Name:D
Authorized Official - Last Name:BENDEWALD
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:605-262-0506
Mailing Address - Street 1:801 12TH AVE SE
Mailing Address - Street 2:PO BOX 815
Mailing Address - City:ABERDEEN
Mailing Address - State:SD
Mailing Address - Zip Code:57401-7215
Mailing Address - Country:US
Mailing Address - Phone:260-526-2050
Mailing Address - Fax:
Practice Address - Street 1:801 12TH AVE SE
Practice Address - Street 2:
Practice Address - City:ABERDEEN
Practice Address - State:SD
Practice Address - Zip Code:57401-7215
Practice Address - Country:US
Practice Address - Phone:260-526-2050
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-02-10
Last Update Date:2008-06-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health