Provider Demographics
NPI:1407513336
Name:ACCLAIMED ANGELIC HEALTHCARE SERVICES INC.
Entity Type:Organization
Organization Name:ACCLAIMED ANGELIC HEALTHCARE SERVICES INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:MR
Authorized Official - First Name:CHINEDU
Authorized Official - Middle Name:CHRISTOPHER
Authorized Official - Last Name:MOKOLO
Authorized Official - Suffix:JR
Authorized Official - Credentials:
Authorized Official - Phone:832-288-1477
Mailing Address - Street 1:1131 KEPLERS LN
Mailing Address - Street 2:
Mailing Address - City:RICHMOND
Mailing Address - State:TX
Mailing Address - Zip Code:77469-2052
Mailing Address - Country:US
Mailing Address - Phone:832-288-1477
Mailing Address - Fax:
Practice Address - Street 1:1131 KEPLERS LN
Practice Address - Street 2:
Practice Address - City:RICHMOND
Practice Address - State:TX
Practice Address - Zip Code:77469-2052
Practice Address - Country:US
Practice Address - Phone:832-288-1477
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-11-28
Last Update Date:2021-11-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251G00000XAgenciesHospice Care, Community Based
No251E00000XAgenciesHome Health