Provider Demographics
NPI:1467219071
Name:INSPIRED ANGELS OF CARE, LLC
Entity Type:Organization
Organization Name:INSPIRED ANGELS OF CARE, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:ODESSA
Authorized Official - Middle Name:
Authorized Official - Last Name:MOSE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:251-767-0816
Mailing Address - Street 1:28202 6TH AVE
Mailing Address - Street 2:
Mailing Address - City:DAPHNE
Mailing Address - State:AL
Mailing Address - Zip Code:36526-5208
Mailing Address - Country:US
Mailing Address - Phone:251-767-0816
Mailing Address - Fax:
Practice Address - Street 1:28202 6TH AVE
Practice Address - Street 2:
Practice Address - City:DAPHNE
Practice Address - State:AL
Practice Address - Zip Code:36526-5208
Practice Address - Country:US
Practice Address - Phone:251-767-0816
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-02-29
Last Update Date:2024-02-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care