Provider Demographics
NPI:1285045492
Name:HOME HEALTH CARE ANGELS, LLC
Entity Type:Organization
Organization Name:HOME HEALTH CARE ANGELS, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MEMBER
Authorized Official - Prefix:
Authorized Official - First Name:LISA
Authorized Official - Middle Name:
Authorized Official - Last Name:PRUITT
Authorized Official - Suffix:
Authorized Official - Credentials:RMA/NA
Authorized Official - Phone:517-908-1049
Mailing Address - Street 1:5025 W SAGINAW HWY
Mailing Address - Street 2:SUITE 7
Mailing Address - City:LANSING
Mailing Address - State:MI
Mailing Address - Zip Code:48917-2656
Mailing Address - Country:US
Mailing Address - Phone:517-908-1049
Mailing Address - Fax:
Practice Address - Street 1:5025 W SAGINAW HWY
Practice Address - Street 2:SUITE 7
Practice Address - City:LANSING
Practice Address - State:MI
Practice Address - Zip Code:48917-2656
Practice Address - Country:US
Practice Address - Phone:517-908-1049
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-05-12
Last Update Date:2015-11-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health