Provider Demographics
NPI:1598835696
Name:ALL ANGELS INCORPORATED
Entity Type:Organization
Organization Name:ALL ANGELS INCORPORATED
Other - Org Name:ALL ANGELS HOME HEALTH CARE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:DIRECTOR OF OPERATIONS
Authorized Official - Prefix:MRS
Authorized Official - First Name:MELANIE
Authorized Official - Middle Name:JOY
Authorized Official - Last Name:LINDEEN
Authorized Official - Suffix:
Authorized Official - Credentials:OWNER
Authorized Official - Phone:402-397-1601
Mailing Address - Street 1:10805 ELM ST
Mailing Address - Street 2:
Mailing Address - City:OMAHA
Mailing Address - State:NE
Mailing Address - Zip Code:68144-4819
Mailing Address - Country:US
Mailing Address - Phone:402-397-1601
Mailing Address - Fax:402-397-1602
Practice Address - Street 1:10805 ELM ST
Practice Address - Street 2:
Practice Address - City:OMAHA
Practice Address - State:NE
Practice Address - Zip Code:68144-4819
Practice Address - Country:US
Practice Address - Phone:402-397-1601
Practice Address - Fax:402-397-1602
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-11-08
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NEHHA1053305R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes305R00000XManaged Care OrganizationsPreferred Provider Organization
Provider Identifiers
StateIdentifier IDID TypeIssuer
NEHHA 1053OtherLICENSE FROM STATE