Provider Demographics
NPI:1609009018
Name:ATTENDING ANGELS HOME CARE
Entity Type:Organization
Organization Name:ATTENDING ANGELS HOME CARE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MS
Authorized Official - First Name:IRINA
Authorized Official - Middle Name:A
Authorized Official - Last Name:KISH
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:314-458-9041
Mailing Address - Street 1:130 HIGHWAY AB
Mailing Address - Street 2:
Mailing Address - City:SAINT CLAIR
Mailing Address - State:MO
Mailing Address - Zip Code:63077-3002
Mailing Address - Country:US
Mailing Address - Phone:636-629-9990
Mailing Address - Fax:636-629-8088
Practice Address - Street 1:130 HIGHWAY AB
Practice Address - Street 2:
Practice Address - City:SAINT CLAIR
Practice Address - State:MO
Practice Address - Zip Code:63077-3002
Practice Address - Country:US
Practice Address - Phone:314-458-9041
Practice Address - Fax:636-629-8088
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-09-01
Last Update Date:2023-03-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care
No251E00000XAgenciesHome Health