Provider Demographics
NPI:1407309321
Name:ANGEL CARE SERVICES LLC
Entity Type:Organization
Organization Name:ANGEL CARE SERVICES LLC
Other - Org Name:ANGEL CARE SERVICES
Other - Org Type:Doing Business As
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:MR
Authorized Official - First Name:ADRIAN
Authorized Official - Middle Name:
Authorized Official - Last Name:BUCUR
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:214-454-2636
Mailing Address - Street 1:1920 FAIRFIELD DR
Mailing Address - Street 2:
Mailing Address - City:PLANO
Mailing Address - State:TX
Mailing Address - Zip Code:75074-5056
Mailing Address - Country:US
Mailing Address - Phone:214-454-2636
Mailing Address - Fax:
Practice Address - Street 1:1920 FAIRFIELD DR
Practice Address - Street 2:
Practice Address - City:PLANO
Practice Address - State:TX
Practice Address - Zip Code:75074-5056
Practice Address - Country:US
Practice Address - Phone:214-454-2636
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-07-27
Last Update Date:2016-07-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX017429253Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care