Provider Demographics
NPI:1326671777
Name:VILLAGE ANGELS, INC
Entity Type:Organization
Organization Name:VILLAGE ANGELS, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:VICE PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:ROBERT
Authorized Official - Middle Name:R
Authorized Official - Last Name:HEBERT
Authorized Official - Suffix:
Authorized Official - Credentials:OWNER
Authorized Official - Phone:501-922-2224
Mailing Address - Street 1:198 CARMONA RD STE 12
Mailing Address - Street 2:
Mailing Address - City:HOT SPRINGS VILLAGE
Mailing Address - State:AR
Mailing Address - Zip Code:71909-2919
Mailing Address - Country:US
Mailing Address - Phone:501-922-2224
Mailing Address - Fax:501-204-5006
Practice Address - Street 1:198 CARMONA RD STE 12
Practice Address - Street 2:
Practice Address - City:HOT SPRINGS VILLAGE
Practice Address - State:AR
Practice Address - Zip Code:71909-2919
Practice Address - Country:US
Practice Address - Phone:501-922-2224
Practice Address - Fax:501-204-5006
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-02-13
Last Update Date:2020-02-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care