Provider Demographics
NPI:1629588652
Name:ANGEL'S WITH HOME SOLUTIONS
Entity Type:Organization
Organization Name:ANGEL'S WITH HOME SOLUTIONS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO/ OWNER
Authorized Official - Prefix:MS
Authorized Official - First Name:CYNTHIA
Authorized Official - Middle Name:J
Authorized Official - Last Name:TAYLOR
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:480-217-4204
Mailing Address - Street 1:2800 N ARIZONA AVE APT 229
Mailing Address - Street 2:
Mailing Address - City:CHANDLER
Mailing Address - State:AZ
Mailing Address - Zip Code:85225-1275
Mailing Address - Country:US
Mailing Address - Phone:480-217-4204
Mailing Address - Fax:
Practice Address - Street 1:2800 N ARIZONA AVE APT 229
Practice Address - Street 2:
Practice Address - City:CHANDLER
Practice Address - State:AZ
Practice Address - Zip Code:85225-1275
Practice Address - Country:US
Practice Address - Phone:480-217-4204
Practice Address - Fax:480-217-4204
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:ANGEL'S WITH HOME SOLUTIONS
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2017-10-04
Last Update Date:2017-10-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
AZ453566493OtherHOME HEALTH AGENCY