Provider Demographics
NPI:1376939348
Name:ANGELS HELPING AT HOME, INC
Entity Type:Organization
Organization Name:ANGELS HELPING AT HOME, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:DAMIAN
Authorized Official - Middle Name:WARREN
Authorized Official - Last Name:RAYNOR
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:716-490-0654
Mailing Address - Street 1:PO BOX 192
Mailing Address - Street 2:
Mailing Address - City:WESTFIELD
Mailing Address - State:NY
Mailing Address - Zip Code:14787-0192
Mailing Address - Country:US
Mailing Address - Phone:716-490-0654
Mailing Address - Fax:
Practice Address - Street 1:7270 MARTIN WRIGHT RD
Practice Address - Street 2:
Practice Address - City:WESTFIELD
Practice Address - State:NY
Practice Address - Zip Code:14787-9606
Practice Address - Country:US
Practice Address - Phone:716-490-0654
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-04-07
Last Update Date:2015-04-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care