Provider Demographics
NPI:1235750530
Name:PRECIOUS ANGELS HHS, LLC
Entity Type:Organization
Organization Name:PRECIOUS ANGELS HHS, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO/MEMBER
Authorized Official - Prefix:
Authorized Official - First Name:LADONNA
Authorized Official - Middle Name:PATRICIA
Authorized Official - Last Name:SMITH
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:314-449-1811
Mailing Address - Street 1:3131 CHIPPEWA ST
Mailing Address - Street 2:
Mailing Address - City:SAINT LOUIS
Mailing Address - State:MO
Mailing Address - Zip Code:63118-3631
Mailing Address - Country:US
Mailing Address - Phone:314-449-1811
Mailing Address - Fax:314-449-1811
Practice Address - Street 1:3131 CHIPPEWA ST
Practice Address - Street 2:
Practice Address - City:SAINT LOUIS
Practice Address - State:MO
Practice Address - Zip Code:63118-3631
Practice Address - Country:US
Practice Address - Phone:314-449-1811
Practice Address - Fax:314-449-1811
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-04-28
Last Update Date:2020-04-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care