Provider Demographics
NPI:1659603165
Name:ANGELS HELPING SENIORS VETERANS & MORE...
Entity Type:Organization
Organization Name:ANGELS HELPING SENIORS VETERANS & MORE...
Other - Org Name:ANGELS HELPING SENIORS & MORE...INC.
Other - Org Type:Doing Business As
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:JUANITA
Authorized Official - Middle Name:
Authorized Official - Last Name:MARTINEZ
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:305-514-0091
Mailing Address - Street 1:223 E FLAGLER ST
Mailing Address - Street 2:STE 508
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33131-1327
Mailing Address - Country:US
Mailing Address - Phone:305-514-0091
Mailing Address - Fax:
Practice Address - Street 1:223 E FLAGLER ST
Practice Address - Street 2:STE 508
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33131-1327
Practice Address - Country:US
Practice Address - Phone:305-514-0091
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-02-08
Last Update Date:2010-02-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXA210000477251E00000X
TX1084358251E00000X
FLGO9000188640251E00000X
NV2000433571251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health