Provider Demographics
NPI:1487828968
Name:ASSISTING ANGELS HOME CARE, INC.
Entity Type:Organization
Organization Name:ASSISTING ANGELS HOME CARE, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT/CEO
Authorized Official - Prefix:MRS
Authorized Official - First Name:BRENDA
Authorized Official - Middle Name:S
Authorized Official - Last Name:CRITELL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:208-344-7979
Mailing Address - Street 1:999 FEDERAL WAY
Mailing Address - Street 2:SUITE 6
Mailing Address - City:BOISE
Mailing Address - State:ID
Mailing Address - Zip Code:83705
Mailing Address - Country:US
Mailing Address - Phone:208-344-7979
Mailing Address - Fax:866-614-3143
Practice Address - Street 1:999 FEDERAL WAY
Practice Address - Street 2:SUITE 6
Practice Address - City:BOISE
Practice Address - State:ID
Practice Address - Zip Code:83705
Practice Address - Country:US
Practice Address - Phone:208-344-7979
Practice Address - Fax:866-614-3143
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-04-16
Last Update Date:2010-02-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health