Provider Demographics
NPI:1417386244
Name:ANGELS SENIOR CARE INC
Entity Type:Organization
Organization Name:ANGELS SENIOR CARE INC
Other - Org Name:ANGELS SENIOR CARE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:MS
Authorized Official - First Name:ROSE
Authorized Official - Middle Name:
Authorized Official - Last Name:HEDGE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:512-774-0965
Mailing Address - Street 1:6407 LAKEWOOD DR
Mailing Address - Street 2:
Mailing Address - City:AUSTIN
Mailing Address - State:TX
Mailing Address - Zip Code:78731-2647
Mailing Address - Country:US
Mailing Address - Phone:512-774-0965
Mailing Address - Fax:512-346-3684
Practice Address - Street 1:6407 LAKEWOOD DR
Practice Address - Street 2:
Practice Address - City:AUSTIN
Practice Address - State:TX
Practice Address - Zip Code:78731-2647
Practice Address - Country:US
Practice Address - Phone:512-774-0965
Practice Address - Fax:512-346-3684
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-11-02
Last Update Date:2013-11-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care