Provider Demographics
NPI:1255836284
Name:ANGELS HELPING HANDS, LLC
Entity Type:Organization
Organization Name:ANGELS HELPING HANDS, LLC
Other - Org Name:ANGELS HELPING HANDS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:MANAGING OWNER-FACILITATOR
Authorized Official - Prefix:MS
Authorized Official - First Name:VERONICA
Authorized Official - Middle Name:ANN
Authorized Official - Last Name:WILLIAMS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:804-238-1378
Mailing Address - Street 1:8942 QUIOCCASIN RD STE 104
Mailing Address - Street 2:
Mailing Address - City:HENRICO
Mailing Address - State:VA
Mailing Address - Zip Code:23229-5534
Mailing Address - Country:US
Mailing Address - Phone:804-238-1378
Mailing Address - Fax:800-861-9684
Practice Address - Street 1:8942 QUIOCCASIN RD STE 104
Practice Address - Street 2:
Practice Address - City:HENRICO
Practice Address - State:VA
Practice Address - Zip Code:23229-5534
Practice Address - Country:US
Practice Address - Phone:804-238-1378
Practice Address - Fax:800-861-9684
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-03-30
Last Update Date:2018-03-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0242308994171M00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes171M00000XOther Service ProvidersCase Manager/Care CoordinatorGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
VA0242308994Medicaid