Provider Demographics
NPI:1639413495
Name:A NURSE ANGELS HOME HEALTH, INC.
Entity Type:Organization
Organization Name:A NURSE ANGELS HOME HEALTH, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:CATHERINE
Authorized Official - Middle Name:
Authorized Official - Last Name:LENOIR
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:817-522-1066
Mailing Address - Street 1:PO BOX 183491
Mailing Address - Street 2:
Mailing Address - City:ARLINGTON
Mailing Address - State:TX
Mailing Address - Zip Code:76096-3491
Mailing Address - Country:US
Mailing Address - Phone:817-522-1066
Mailing Address - Fax:817-628-1677
Practice Address - Street 1:6719 FAIRGLEN DR
Practice Address - Street 2:
Practice Address - City:ARLINGTON
Practice Address - State:TX
Practice Address - Zip Code:76002-5563
Practice Address - Country:US
Practice Address - Phone:817-522-1066
Practice Address - Fax:817-628-1677
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-11-18
Last Update Date:2015-03-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX015515251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
TXN/AOtherCCP
TX342344401Medicaid