Provider Demographics
NPI:1346678984
Name:ANGELS ADVOCATE HOME CARE, LLC
Entity Type:Organization
Organization Name:ANGELS ADVOCATE HOME CARE, LLC
Other - Org Name:ANGEL'S ADVOCATE HOME CARE, LLC
Other - Org Type:Other Name
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:DANNA
Authorized Official - Middle Name:
Authorized Official - Last Name:MOLLEDA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:303-317-5330
Mailing Address - Street 1:80 GARDEN CTR STE 12
Mailing Address - Street 2:
Mailing Address - City:BROOMFIELD
Mailing Address - State:CO
Mailing Address - Zip Code:80020-1735
Mailing Address - Country:US
Mailing Address - Phone:303-317-5330
Mailing Address - Fax:303-325-7406
Practice Address - Street 1:80 GARDEN CTR STE 12
Practice Address - Street 2:
Practice Address - City:BROOMFIELD
Practice Address - State:CO
Practice Address - Zip Code:80020-1735
Practice Address - Country:US
Practice Address - Phone:303-317-5330
Practice Address - Fax:303-325-7406
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-10-17
Last Update Date:2023-07-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care