Provider Demographics
NPI:1235980434
Name:ANGELS OF ANNIE HOME CARE LLC
Entity Type:Organization
Organization Name:ANGELS OF ANNIE HOME CARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:CHARLES
Authorized Official - Middle Name:RAY
Authorized Official - Last Name:SHAW
Authorized Official - Suffix:II
Authorized Official - Credentials:
Authorized Official - Phone:832-865-9609
Mailing Address - Street 1:11111 KATY FWY STE 916
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77079-2114
Mailing Address - Country:US
Mailing Address - Phone:346-245-8893
Mailing Address - Fax:
Practice Address - Street 1:11111 KATY FWY STE 916
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77079-2114
Practice Address - Country:US
Practice Address - Phone:346-245-8893
Practice Address - Fax:855-426-3916
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:ANGELS OF ANNIE HOME CARE LLC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2024-03-27
Last Update Date:2024-03-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes347C00000XTransportation ServicesPrivate Vehicle
No343900000XTransportation ServicesNon-emergency Medical Transport (VAN)
No344600000XTransportation ServicesTaxi