Provider Demographics
NPI:1235621202
Name:HEALTH ANGELS HOME CARE PROVIDERS, LLC
Entity Type:Organization
Organization Name:HEALTH ANGELS HOME CARE PROVIDERS, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:JANE
Authorized Official - Middle Name:
Authorized Official - Last Name:BEUERMAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:978-382-6807
Mailing Address - Street 1:22 WINSOR DR
Mailing Address - Street 2:
Mailing Address - City:DRACUT
Mailing Address - State:MA
Mailing Address - Zip Code:01826-4312
Mailing Address - Country:US
Mailing Address - Phone:978-382-6807
Mailing Address - Fax:
Practice Address - Street 1:60 CONCORD ST STE F100
Practice Address - Street 2:
Practice Address - City:WILMINGTON
Practice Address - State:MA
Practice Address - Zip Code:01887-2179
Practice Address - Country:US
Practice Address - Phone:978-382-6807
Practice Address - Fax:617-588-5022
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-06-05
Last Update Date:2022-11-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health