Provider Demographics
NPI:1598276909
Name:ANGELS HEALTH & HOME CARE SVCS INC
Entity Type:Organization
Organization Name:ANGELS HEALTH & HOME CARE SVCS INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGING DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:BUSTER
Authorized Official - Middle Name:
Authorized Official - Last Name:FALLAH
Authorized Official - Suffix:
Authorized Official - Credentials:MANAGER
Authorized Official - Phone:763-270-5771
Mailing Address - Street 1:3300 COUNTY ROAD 10 STE 522
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN CENTER
Mailing Address - State:MN
Mailing Address - Zip Code:55429-3072
Mailing Address - Country:US
Mailing Address - Phone:763-270-5771
Mailing Address - Fax:763-657-0252
Practice Address - Street 1:3300 COUNTY ROAD 10 STE 522
Practice Address - Street 2:
Practice Address - City:BROOKLYN CENTER
Practice Address - State:MN
Practice Address - Zip Code:55429-3072
Practice Address - Country:US
Practice Address - Phone:763-270-5771
Practice Address - Fax:763-657-0252
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-10-12
Last Update Date:2017-10-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN380981251J00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251J00000XAgenciesNursing Care