Provider Demographics
NPI:1376260703
Name:HOME HEALTH ANGELS LLC
Entity Type:Organization
Organization Name:HOME HEALTH ANGELS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGING MEMBER
Authorized Official - Prefix:
Authorized Official - First Name:ZACHARY
Authorized Official - Middle Name:
Authorized Official - Last Name:BIDERMAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:512-922-3023
Mailing Address - Street 1:PO BOX 41509
Mailing Address - Street 2:
Mailing Address - City:AUSTIN
Mailing Address - State:TX
Mailing Address - Zip Code:78704-0026
Mailing Address - Country:US
Mailing Address - Phone:512-922-3023
Mailing Address - Fax:
Practice Address - Street 1:3904 SYCAMORE DR
Practice Address - Street 2:
Practice Address - City:AUSTIN
Practice Address - State:TX
Practice Address - Zip Code:78722-1230
Practice Address - Country:US
Practice Address - Phone:512-922-3023
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-10-26
Last Update Date:2022-10-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care