Provider Demographics
NPI:1326556994
Name:NOUVEAU ENTERPRISES LLC DBA ANNGELIC HOME CARE
Entity Type:Organization
Organization Name:NOUVEAU ENTERPRISES LLC DBA ANNGELIC HOME CARE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/CEO
Authorized Official - Prefix:
Authorized Official - First Name:MARION
Authorized Official - Middle Name:SALINDA
Authorized Official - Last Name:PREYEAR
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:251-593-7940
Mailing Address - Street 1:PO BOX 1672
Mailing Address - Street 2:
Mailing Address - City:MONROEVILLE
Mailing Address - State:AL
Mailing Address - Zip Code:36461-1672
Mailing Address - Country:US
Mailing Address - Phone:256-527-3091
Mailing Address - Fax:
Practice Address - Street 1:19 HINES ST
Practice Address - Street 2:
Practice Address - City:MONROEVILLE
Practice Address - State:AL
Practice Address - Zip Code:36460-1833
Practice Address - Country:US
Practice Address - Phone:256-527-3091
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-01-17
Last Update Date:2018-01-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care