Provider Demographics
NPI:1376556951
Name:ABSOLUTELY ANGELS, INC
Entity Type:Organization
Organization Name:ABSOLUTELY ANGELS, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT & CFO
Authorized Official - Prefix:
Authorized Official - First Name:SUNIL
Authorized Official - Middle Name:
Authorized Official - Last Name:RAI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:940-686-0324
Mailing Address - Street 1:730 S HIGHWAY 377 STE 104
Mailing Address - Street 2:
Mailing Address - City:PILOT POINT
Mailing Address - State:TX
Mailing Address - Zip Code:76258-4469
Mailing Address - Country:US
Mailing Address - Phone:940-686-0324
Mailing Address - Fax:940-686-0809
Practice Address - Street 1:730 S HIGHWAY 377 STE 104
Practice Address - Street 2:
Practice Address - City:PILOT POINT
Practice Address - State:TX
Practice Address - Zip Code:76258-4469
Practice Address - Country:US
Practice Address - Phone:940-686-0324
Practice Address - Fax:940-686-0809
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-08-14
Last Update Date:2023-05-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX009536251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX173636501Medicaid
TX173636501Medicaid
TX457848Medicare PIN