Provider Demographics
NPI:1558985770
Name:TEXAS ANGELS OF HOPE, LLC
Entity Type:Organization
Organization Name:TEXAS ANGELS OF HOPE, LLC
Other - Org Name:TEXAS ANGELS OF HOPE, LLC
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:ALBERTA
Authorized Official - Middle Name:MARIE
Authorized Official - Last Name:JOHNSON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:512-568-4801
Mailing Address - Street 1:6801 WILLIAM WALLACE WAY
Mailing Address - Street 2:
Mailing Address - City:AUSTIN
Mailing Address - State:TX
Mailing Address - Zip Code:78754-5799
Mailing Address - Country:US
Mailing Address - Phone:512-568-4801
Mailing Address - Fax:
Practice Address - Street 1:6801 WILLIAM WALLACE WAY
Practice Address - Street 2:
Practice Address - City:AUSTIN
Practice Address - State:TX
Practice Address - Zip Code:78754-5799
Practice Address - Country:US
Practice Address - Phone:512-568-4801
Practice Address - Fax:512-291-3414
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-06-03
Last Update Date:2023-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes253Z00000XAgenciesIn Home Supportive CareGroup - Single Specialty
No3747P1801XNursing Service Related ProvidersTechnicianPersonal Care AttendantGroup - Single Specialty