Provider Demographics
NPI:1326395328
Name:ANGELS AT HEART HOMECARE UNLIMITED
Entity Type:Organization
Organization Name:ANGELS AT HEART HOMECARE UNLIMITED
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:RN/OWNER
Authorized Official - Prefix:
Authorized Official - First Name:LISA
Authorized Official - Middle Name:F
Authorized Official - Last Name:HANEY
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:937-876-5186
Mailing Address - Street 1:201 S WASHINGTON ST
Mailing Address - Street 2:
Mailing Address - City:GREENFIELD
Mailing Address - State:OH
Mailing Address - Zip Code:45123-1466
Mailing Address - Country:US
Mailing Address - Phone:937-876-5186
Mailing Address - Fax:
Practice Address - Street 1:201 S WASHINGTON ST
Practice Address - Street 2:
Practice Address - City:GREENFIELD
Practice Address - State:OH
Practice Address - Zip Code:45123-1466
Practice Address - Country:US
Practice Address - Phone:937-876-5186
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-08-08
Last Update Date:2012-08-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHRN 251437251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health