Provider Demographics
NPI:1518266774
Name:ANGELS TOUCH SUPPORT LLC
Entity Type:Organization
Organization Name:ANGELS TOUCH SUPPORT LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:IAN
Authorized Official - Middle Name:
Authorized Official - Last Name:HAMBRIGHT
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:312-775-2526
Mailing Address - Street 1:PO BOX 543
Mailing Address - Street 2:
Mailing Address - City:MEDINAH
Mailing Address - State:IL
Mailing Address - Zip Code:60157-0543
Mailing Address - Country:US
Mailing Address - Phone:312-775-2526
Mailing Address - Fax:
Practice Address - Street 1:8124 KENSINGTON LN
Practice Address - Street 2:
Practice Address - City:HANOVER PARK
Practice Address - State:IL
Practice Address - Zip Code:60133-2337
Practice Address - Country:US
Practice Address - Phone:312-775-2526
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-03-26
Last Update Date:2011-03-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health