Provider Demographics
NPI:1205386067
Name:HANDS OF ANGELS HOME HEALTHCARE/STAFFING
Entity Type:Organization
Organization Name:HANDS OF ANGELS HOME HEALTHCARE/STAFFING
Other - Org Name:HOA STAFFING
Other - Org Type:Other Name
Authorized Official - Title/Position:CEO OWNER
Authorized Official - Prefix:
Authorized Official - First Name:MORGAN
Authorized Official - Middle Name:
Authorized Official - Last Name:THOMASJETER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:701-500-5401
Mailing Address - Street 1:356A LITTLE ROCK CT
Mailing Address - Street 2:
Mailing Address - City:BISMARCK
Mailing Address - State:ND
Mailing Address - Zip Code:58503-0004
Mailing Address - Country:US
Mailing Address - Phone:701-500-5401
Mailing Address - Fax:701-751-9988
Practice Address - Street 1:356A LITTLE ROCK CT
Practice Address - Street 2:
Practice Address - City:BISMARCK
Practice Address - State:ND
Practice Address - Zip Code:58503-0004
Practice Address - Country:US
Practice Address - Phone:701-500-5401
Practice Address - Fax:701-751-9988
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-10-05
Last Update Date:2016-10-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ND39163100251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health