Provider Demographics
NPI:1649200833
Name:ANGELS HOME HEALTH AGENCY
Entity Type:Organization
Organization Name:ANGELS HOME HEALTH AGENCY
Other - Org Name:CARING HANDS CONSULTING SVCS
Other - Org Type:Other Name
Authorized Official - Title/Position:ASSISTANT ADMINISTRATOR
Authorized Official - Prefix:MR
Authorized Official - First Name:JUDE
Authorized Official - Middle Name:CHIMEJINA
Authorized Official - Last Name:ASONIBE
Authorized Official - Suffix:
Authorized Official - Credentials:MR
Authorized Official - Phone:469-454-6826
Mailing Address - Street 1:415 WEAVER ST
Mailing Address - Street 2:
Mailing Address - City:CEDAR HILL
Mailing Address - State:TX
Mailing Address - Zip Code:75104-2856
Mailing Address - Country:US
Mailing Address - Phone:469-454-6826
Mailing Address - Fax:
Practice Address - Street 1:2439 VALLEY VIEW DR
Practice Address - Street 2:
Practice Address - City:CEDAR HILL
Practice Address - State:TX
Practice Address - Zip Code:75104-6712
Practice Address - Country:US
Practice Address - Phone:469-454-6826
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:ANGELS HOME HEALTH AGENCY
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2006-07-03
Last Update Date:2015-07-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX008103251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX679045Medicare Oscar/Certification