Provider Demographics
NPI:1235797333
Name:ANGELS AT HOME CARE LLC
Entity Type:Organization
Organization Name:ANGELS AT HOME CARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:MERUBEN
Authorized Official - Middle Name:J
Authorized Official - Last Name:TATIS
Authorized Official - Suffix:
Authorized Official - Credentials:OWNER
Authorized Official - Phone:727-698-9502
Mailing Address - Street 1:8435 GARDNER RD LOT 5
Mailing Address - Street 2:
Mailing Address - City:TAMPA
Mailing Address - State:FL
Mailing Address - Zip Code:33625-3715
Mailing Address - Country:US
Mailing Address - Phone:727-698-9502
Mailing Address - Fax:
Practice Address - Street 1:8435 GARDNER RD LOT 5
Practice Address - Street 2:
Practice Address - City:TAMPA
Practice Address - State:FL
Practice Address - Zip Code:33625-3715
Practice Address - Country:US
Practice Address - Phone:727-698-9502
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-06-03
Last Update Date:2024-04-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes251E00000XAgenciesHome Health
No374U00000XNursing Service Related ProvidersHome Health AideGroup - Single Specialty