Provider Demographics
NPI:1437654563
Name:ANGELIC HANDS HOME HEALTHCARE, LLC
Entity Type:Organization
Organization Name:ANGELIC HANDS HOME HEALTHCARE, LLC
Other - Org Name:ANGELIC HANDS HOME HEALTH CARE, LLC
Other - Org Type:Doing Business As
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:GIDEON
Authorized Official - Middle Name:
Authorized Official - Last Name:BAYELLE
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:410-888-7198
Mailing Address - Street 1:202 BENTLEY ST
Mailing Address - Street 2:
Mailing Address - City:TANEYTOWN
Mailing Address - State:MD
Mailing Address - Zip Code:21787-2142
Mailing Address - Country:US
Mailing Address - Phone:443-201-6421
Mailing Address - Fax:410-888-7198
Practice Address - Street 1:202 BENTLEY ST
Practice Address - Street 2:
Practice Address - City:TANEYTOWN
Practice Address - State:MD
Practice Address - Zip Code:21787-2142
Practice Address - Country:US
Practice Address - Phone:443-201-6421
Practice Address - Fax:410-888-7198
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-03-29
Last Update Date:2018-03-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDR4019251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health