Provider Demographics
NPI:1457664054
Name:ANGELOPOLIS HOME HEALTH SERVICES
Entity Type:Organization
Organization Name:ANGELOPOLIS HOME HEALTH SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:HOGLA
Authorized Official - Middle Name:BELLINDA
Authorized Official - Last Name:VELAZQUEZ
Authorized Official - Suffix:
Authorized Official - Credentials:M ED
Authorized Official - Phone:832-276-7057
Mailing Address - Street 1:1708 JENKINS RD
Mailing Address - Street 2:
Mailing Address - City:PASADENA
Mailing Address - State:TX
Mailing Address - Zip Code:77506-4980
Mailing Address - Country:US
Mailing Address - Phone:832-276-7057
Mailing Address - Fax:713-920-1983
Practice Address - Street 1:1708 JENKINS RD
Practice Address - Street 2:
Practice Address - City:PASADENA
Practice Address - State:TX
Practice Address - Zip Code:77506-4980
Practice Address - Country:US
Practice Address - Phone:832-276-7057
Practice Address - Fax:713-920-1983
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-07-23
Last Update Date:2010-07-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health