Provider Demographics
NPI:1629159256
Name:HEATER COLLINS INC
Entity Type:Organization
Organization Name:HEATER COLLINS INC
Other - Org Name:ANGEL CARE HOME HEALTH SERVICES
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER/ADMINISTRATOR
Authorized Official - Prefix:MISS
Authorized Official - First Name:ANITA
Authorized Official - Middle Name:
Authorized Official - Last Name:COLLINS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:702-731-5587
Mailing Address - Street 1:4080 E LAKE MEAD BLVD
Mailing Address - Street 2:SUITE C101
Mailing Address - City:LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89115-6466
Mailing Address - Country:US
Mailing Address - Phone:702-731-5587
Mailing Address - Fax:702-731-5597
Practice Address - Street 1:4080 E LAKE MEAD BLVD
Practice Address - Street 2:SUITE C101
Practice Address - City:LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89115-6466
Practice Address - Country:US
Practice Address - Phone:702-731-5587
Practice Address - Fax:702-731-5597
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-10-18
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health