Provider Demographics
NPI:1518293117
Name:ANGELS HOME HEALTH CARE, INC.
Entity Type:Organization
Organization Name:ANGELS HOME HEALTH CARE, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT/ADMINISTRATOR
Authorized Official - Prefix:MR
Authorized Official - First Name:ALY
Authorized Official - Middle Name:M
Authorized Official - Last Name:SHOUCAIR
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:313-846-5280
Mailing Address - Street 1:13365 MICHIGAN AVE
Mailing Address - Street 2:SUITE 211
Mailing Address - City:DEARBORN
Mailing Address - State:MI
Mailing Address - Zip Code:48126-3764
Mailing Address - Country:US
Mailing Address - Phone:313-846-5280
Mailing Address - Fax:313-846-5244
Practice Address - Street 1:13365 MICHIGAN AVE
Practice Address - Street 2:SUITE 211
Practice Address - City:DEARBORN
Practice Address - State:MI
Practice Address - Zip Code:48126-3764
Practice Address - Country:US
Practice Address - Phone:313-846-5280
Practice Address - Fax:313-846-5244
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-11-02
Last Update Date:2009-11-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health