Provider Demographics
NPI:1417646027
Name:ANGELS HANDS A1 HOME CARE LLC
Entity Type:Organization
Organization Name:ANGELS HANDS A1 HOME CARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/FOUNDER
Authorized Official - Prefix:MRS
Authorized Official - First Name:LISA
Authorized Official - Middle Name:
Authorized Official - Last Name:JACKSON
Authorized Official - Suffix:
Authorized Official - Credentials:CMA,CNA
Authorized Official - Phone:832-484-2740
Mailing Address - Street 1:2423 MONTANA BLUE DRIVE, SPRING, TX, UNITED STATES
Mailing Address - Street 2:
Mailing Address - City:SPRING
Mailing Address - State:TX
Mailing Address - Zip Code:77373
Mailing Address - Country:US
Mailing Address - Phone:832-484-2740
Mailing Address - Fax:
Practice Address - Street 1:2423 MONTANA BLUE DRIVE, SPRING, TX, UNITED STATES
Practice Address - Street 2:
Practice Address - City:SPRING
Practice Address - State:TX
Practice Address - Zip Code:77373
Practice Address - Country:US
Practice Address - Phone:832-484-2740
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-05-01
Last Update Date:2023-05-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes3747A0650XNursing Service Related ProvidersTechnicianAttendant Care ProviderGroup - Multi-Specialty
No376G00000XNursing Service Related ProvidersNursing Home AdministratorGroup - Multi-Specialty