Provider Demographics
NPI:1497158646
Name:CARING ANGELS HOME HEALTH AGENCY LLC
Entity Type:Organization
Organization Name:CARING ANGELS HOME HEALTH AGENCY LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MEMBER
Authorized Official - Prefix:
Authorized Official - First Name:SAFAE
Authorized Official - Middle Name:
Authorized Official - Last Name:BOUCHENAFA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:614-822-5218
Mailing Address - Street 1:3068 WILCE AVE
Mailing Address - Street 2:
Mailing Address - City:COLUMBUS
Mailing Address - State:OH
Mailing Address - Zip Code:43202-1708
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:3068 WILCE AVE
Practice Address - Street 2:
Practice Address - City:COLUMBUS
Practice Address - State:OH
Practice Address - Zip Code:43202-1708
Practice Address - Country:US
Practice Address - Phone:614-822-5218
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-10-02
Last Update Date:2014-10-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHRN.367506-251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health