Provider Demographics
NPI:1437198488
Name:THE ANGELS HOME HEALTH CARE SERVICES
Entity Type:Organization
Organization Name:THE ANGELS HOME HEALTH CARE SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:WILSON
Authorized Official - Middle Name:OTEKA
Authorized Official - Last Name:ANOSIEKWU
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:614-577-1125
Mailing Address - Street 1:2244 SO HAMILTON ROAD
Mailing Address - Street 2:SUITE 202
Mailing Address - City:COLUMBUS
Mailing Address - State:OH
Mailing Address - Zip Code:43232-4390
Mailing Address - Country:US
Mailing Address - Phone:614-577-1125
Mailing Address - Fax:614-577-1185
Practice Address - Street 1:2244 S HAMILTON RD
Practice Address - Street 2:SUITE 202
Practice Address - City:COLUMBUS
Practice Address - State:OH
Practice Address - Zip Code:43232-4390
Practice Address - Country:US
Practice Address - Phone:614-577-1125
Practice Address - Fax:614-577-1185
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-06-05
Last Update Date:2008-05-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH2807207Medicaid
OH2807207Medicaid