Provider Demographics
NPI:1245617554
Name:ANGELS AT HOME CARE LLC
Entity Type:Organization
Organization Name:ANGELS AT HOME CARE LLC
Other - Org Name:FAITH HOME HEALTHCARE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:BOB
Authorized Official - Middle Name:
Authorized Official - Last Name:BLEVINS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:913-296-7636
Mailing Address - Street 1:11827 W 112TH ST STE 100
Mailing Address - Street 2:
Mailing Address - City:OVERLAND PARK
Mailing Address - State:KS
Mailing Address - Zip Code:66210-2700
Mailing Address - Country:US
Mailing Address - Phone:785-940-4035
Mailing Address - Fax:785-940-4036
Practice Address - Street 1:3600 SW BURLINGAME RD STE 1B
Practice Address - Street 2:
Practice Address - City:TOPEKA
Practice Address - State:KS
Practice Address - Zip Code:66611-2053
Practice Address - Country:US
Practice Address - Phone:785-271-4376
Practice Address - Fax:785-783-8575
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-05-06
Last Update Date:2022-09-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
No347C00000XTransportation ServicesPrivate Vehicle