Provider Demographics
NPI:1669007233
Name:ANGELS BY THE SEA LLC
Entity Type:Organization
Organization Name:ANGELS BY THE SEA LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:FRANCES
Authorized Official - Middle Name:
Authorized Official - Last Name:GARCIA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:956-943-3000
Mailing Address - Street 1:117 W QUEEN ISABELLA
Mailing Address - Street 2:
Mailing Address - City:PORT ISABEL
Mailing Address - State:TX
Mailing Address - Zip Code:78578-2416
Mailing Address - Country:US
Mailing Address - Phone:956-943-3000
Mailing Address - Fax:956-943-3002
Practice Address - Street 1:117 W QUEEN ISABELLA
Practice Address - Street 2:
Practice Address - City:PORT ISABEL
Practice Address - State:TX
Practice Address - Zip Code:78578-2416
Practice Address - Country:US
Practice Address - Phone:956-943-3000
Practice Address - Fax:956-943-3002
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-03-04
Last Update Date:2023-06-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes253Z00000XAgenciesIn Home Supportive CareGroup - Single Specialty
No3747P1801XNursing Service Related ProvidersTechnicianPersonal Care AttendantGroup - Single Specialty