Provider Demographics
NPI:1598310377
Name:ANGEL HOME CARE SOLUTIONS
Entity Type:Organization
Organization Name:ANGEL HOME CARE SOLUTIONS
Other - Org Name:EB
Other - Org Type:Former Legal Business Name
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:CHARLES
Authorized Official - Middle Name:
Authorized Official - Last Name:CORBETT
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:202-320-3142
Mailing Address - Street 1:9110 UTICA PL
Mailing Address - Street 2:
Mailing Address - City:SPRINGDALE
Mailing Address - State:MD
Mailing Address - Zip Code:20774-2543
Mailing Address - Country:US
Mailing Address - Phone:800-674-3643
Mailing Address - Fax:301-322-5015
Practice Address - Street 1:9110 UTICA PL
Practice Address - Street 2:
Practice Address - City:SPRINGDALE
Practice Address - State:MD
Practice Address - Zip Code:20774-2543
Practice Address - Country:US
Practice Address - Phone:800-674-3643
Practice Address - Fax:301-322-5015
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-08-07
Last Update Date:2020-08-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health