Provider Demographics
NPI:1598203721
Name:COMMUNITY ANGELS NURSING SERVICES INC
Entity Type:Organization
Organization Name:COMMUNITY ANGELS NURSING SERVICES INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/ PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:KAYODE
Authorized Official - Middle Name:
Authorized Official - Last Name:OGUNSIAKAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:202-361-5080
Mailing Address - Street 1:18902 MONTGOMERY VILLAGE AVE
Mailing Address - Street 2:
Mailing Address - City:GAITHERSBURG
Mailing Address - State:MD
Mailing Address - Zip Code:20886-3724
Mailing Address - Country:US
Mailing Address - Phone:202-361-5080
Mailing Address - Fax:
Practice Address - Street 1:18902 MONTGOMERY VILLAGE AVE
Practice Address - Street 2:
Practice Address - City:GAITHERSBURG
Practice Address - State:MD
Practice Address - Zip Code:20886-3724
Practice Address - Country:US
Practice Address - Phone:202-361-5080
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-02-08
Last Update Date:2017-02-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health