Provider Demographics
NPI:1609236397
Name:ANGELS HOME CARE SERVICES
Entity Type:Organization
Organization Name:ANGELS HOME CARE SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT/OWNER
Authorized Official - Prefix:MISS
Authorized Official - First Name:ANGELA
Authorized Official - Middle Name:ELAINE
Authorized Official - Last Name:COOK
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:732-936-1377
Mailing Address - Street 1:148C MONMOUTH ST
Mailing Address - Street 2:
Mailing Address - City:RED BANK
Mailing Address - State:NJ
Mailing Address - Zip Code:07701-1111
Mailing Address - Country:US
Mailing Address - Phone:732-936-1377
Mailing Address - Fax:732-936-1357
Practice Address - Street 1:148C MONMOUTH ST
Practice Address - Street 2:2145 RED BANK NJ 07701
Practice Address - City:RED BANK
Practice Address - State:NJ
Practice Address - Zip Code:07701-1111
Practice Address - Country:US
Practice Address - Phone:732-936-1377
Practice Address - Fax:732-936-1357
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-02-24
Last Update Date:2016-02-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ8PH0140100251E00000X
NJ8HP0140100251E00000X
NJ8HPO140100251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health