Provider Demographics
NPI:1376895029
Name:LOVING ANGELS HOME HEALTH
Entity Type:Organization
Organization Name:LOVING ANGELS HOME HEALTH
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:BZYNTIA
Authorized Official - Middle Name:ANTIONETTE
Authorized Official - Last Name:MILTON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:214-537-7953
Mailing Address - Street 1:7272 MARVIN D LOVE FWY APT 2411
Mailing Address - Street 2:APT
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75237-3169
Mailing Address - Country:US
Mailing Address - Phone:214-537-7953
Mailing Address - Fax:
Practice Address - Street 1:7272 MARVIN D LOVE FWY APT 2411
Practice Address - Street 2:APT
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75237-3169
Practice Address - Country:US
Practice Address - Phone:214-537-7953
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-10-04
Last Update Date:2012-10-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX320600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes320600000XResidential Treatment FacilitiesResidential Treatment Facility, Intellectual and/or Developmental Disabilities