Provider Demographics
NPI:1629752332
Name:CORSICANA HOMECARE LLC DBA VISITING ANGELS
Entity Type:Organization
Organization Name:CORSICANA HOMECARE LLC DBA VISITING ANGELS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:BRANCH MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:HANNAH
Authorized Official - Middle Name:GAIL
Authorized Official - Last Name:ESTES
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:469-383-4777
Mailing Address - Street 1:852 MACH RD
Mailing Address - Street 2:
Mailing Address - City:ENNIS
Mailing Address - State:TX
Mailing Address - Zip Code:75119-0469
Mailing Address - Country:US
Mailing Address - Phone:469-383-4777
Mailing Address - Fax:903-702-5002
Practice Address - Street 1:852 MACH RD
Practice Address - Street 2:
Practice Address - City:ENNIS
Practice Address - State:TX
Practice Address - Zip Code:75119-0469
Practice Address - Country:US
Practice Address - Phone:903-702-5000
Practice Address - Fax:903-702-5002
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-06-13
Last Update Date:2023-07-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care