Provider Demographics
NPI:1639703234
Name:TRUE ANGEL'S HOME, LLC
Entity Type:Organization
Organization Name:TRUE ANGEL'S HOME, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:MELISSA
Authorized Official - Middle Name:
Authorized Official - Last Name:DESMANGLES
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:201-814-8682
Mailing Address - Street 1:250 PEHLE AVE STE 200
Mailing Address - Street 2:
Mailing Address - City:SADDLE BROOK
Mailing Address - State:NJ
Mailing Address - Zip Code:07663-5835
Mailing Address - Country:US
Mailing Address - Phone:201-814-8682
Mailing Address - Fax:
Practice Address - Street 1:250 PEHLE AVE STE 200
Practice Address - Street 2:
Practice Address - City:SADDLE BROOK
Practice Address - State:NJ
Practice Address - Zip Code:07663-5835
Practice Address - Country:US
Practice Address - Phone:201-814-8682
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-02-24
Last Update Date:2020-02-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health