Provider Demographics
NPI:1467965186
Name:L & B HEALTH ANGELS INCORPORATED
Entity Type:Organization
Organization Name:L & B HEALTH ANGELS INCORPORATED
Other - Org Name:HOME CARE ASSISTANCE RICHARDSON
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER/GOVERNING BODY
Authorized Official - Prefix:
Authorized Official - First Name:LUKEYSHA
Authorized Official - Middle Name:D
Authorized Official - Last Name:ISAAC
Authorized Official - Suffix:
Authorized Official - Credentials:REGISTERED NURSE
Authorized Official - Phone:469-573-4213
Mailing Address - Street 1:6850 N SHILOH RD STE R
Mailing Address - Street 2:
Mailing Address - City:GARLAND
Mailing Address - State:TX
Mailing Address - Zip Code:75044-2918
Mailing Address - Country:US
Mailing Address - Phone:469-573-4215
Mailing Address - Fax:
Practice Address - Street 1:10303 JENNIFER CIR
Practice Address - Street 2:
Practice Address - City:FORNEY
Practice Address - State:TX
Practice Address - Zip Code:75126-7821
Practice Address - Country:US
Practice Address - Phone:469-667-0379
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-11-16
Last Update Date:2021-04-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes253Z00000XAgenciesIn Home Supportive CareGroup - Single Specialty
No372600000XNursing Service Related ProvidersAdult CompanionGroup - Single Specialty