Provider Demographics
NPI:1518506427
Name:ANGELS HOME HEALTH LLC
Entity Type:Organization
Organization Name:ANGELS HOME HEALTH LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:CHRISTOPHER
Authorized Official - Middle Name:
Authorized Official - Last Name:DICE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:816-266-1840
Mailing Address - Street 1:2121 NE 74TH TER
Mailing Address - Street 2:
Mailing Address - City:KANSAS CITY
Mailing Address - State:MO
Mailing Address - Zip Code:64118-2359
Mailing Address - Country:US
Mailing Address - Phone:816-266-1840
Mailing Address - Fax:
Practice Address - Street 1:2121 NE 74TH TER
Practice Address - Street 2:
Practice Address - City:KANSAS CITY
Practice Address - State:MO
Practice Address - Zip Code:64118-2359
Practice Address - Country:US
Practice Address - Phone:816-266-1840
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-12-26
Last Update Date:2019-12-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health