Provider Demographics
NPI:1487178224
Name:ANGLE HOMECARE CORPORATION
Entity Type:Organization
Organization Name:ANGLE HOMECARE CORPORATION
Other - Org Name:ANGLE HOMECARE CORPORATION
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:LYNN
Authorized Official - Middle Name:P
Authorized Official - Last Name:VO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:832-287-1777
Mailing Address - Street 1:10700 RICHMOND AVE STE 108
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77042-4905
Mailing Address - Country:US
Mailing Address - Phone:832-287-7777
Mailing Address - Fax:832-634-4905
Practice Address - Street 1:10700 RICHMOND AVE STE 108
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77042-4905
Practice Address - Country:US
Practice Address - Phone:832-287-5946
Practice Address - Fax:832-634-4905
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-08-02
Last Update Date:2023-05-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX=========Medicaid