Provider Demographics
NPI:1679353460
Name:ANGELA'S LOVING HOME CARE LLC
Entity Type:Organization
Organization Name:ANGELA'S LOVING HOME CARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:JAMES
Authorized Official - Middle Name:EDWARD
Authorized Official - Last Name:ROGERS
Authorized Official - Suffix:JR
Authorized Official - Credentials:
Authorized Official - Phone:910-734-4499
Mailing Address - Street 1:1937 W PALMETTO ST.
Mailing Address - Street 2:PMB #201
Mailing Address - City:FLORENCE
Mailing Address - State:SC
Mailing Address - Zip Code:29501
Mailing Address - Country:US
Mailing Address - Phone:910-734-4499
Mailing Address - Fax:
Practice Address - Street 1:9123 CHICKEN RD
Practice Address - Street 2:
Practice Address - City:FAIRMONT
Practice Address - State:NC
Practice Address - Zip Code:28340-9424
Practice Address - Country:US
Practice Address - Phone:910-734-4499
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-09-29
Last Update Date:2023-09-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes374U00000XNursing Service Related ProvidersHome Health AideGroup - Single Specialty