Provider Demographics
NPI:1407214372
Name:HANDS OF ANGELS HEALTHCARE AGENCY LLC
Entity Type:Organization
Organization Name:HANDS OF ANGELS HEALTHCARE AGENCY LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:ERAINER
Authorized Official - Middle Name:
Authorized Official - Last Name:ODOM
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:973-900-9021
Mailing Address - Street 1:50 UNION AVE STE 503
Mailing Address - Street 2:
Mailing Address - City:IRVINGTON
Mailing Address - State:NJ
Mailing Address - Zip Code:07111-3292
Mailing Address - Country:US
Mailing Address - Phone:973-900-9021
Mailing Address - Fax:973-416-1009
Practice Address - Street 1:50 UNION AVE STE 503
Practice Address - Street 2:
Practice Address - City:IRVINGTON
Practice Address - State:NJ
Practice Address - Zip Code:07111-3292
Practice Address - Country:US
Practice Address - Phone:973-900-9021
Practice Address - Fax:973-416-1009
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-02-05
Last Update Date:2023-04-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care
No251E00000XAgenciesHome Health