Provider Demographics
NPI:1710084355
Name:ANGELIC CARE HOME HEALTH, INC.
Entity Type:Organization
Organization Name:ANGELIC CARE HOME HEALTH, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR/OWNER
Authorized Official - Prefix:MRS
Authorized Official - First Name:LAKEYSHA
Authorized Official - Middle Name:D
Authorized Official - Last Name:BURFORD
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:281-491-0560
Mailing Address - Street 1:16530 SINALOA DR
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77083-3734
Mailing Address - Country:US
Mailing Address - Phone:281-491-0560
Mailing Address - Fax:281-491-2794
Practice Address - Street 1:16530 SINALOA DR
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77083-3734
Practice Address - Country:US
Practice Address - Phone:281-491-0560
Practice Address - Fax:281-491-2794
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-09-17
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health