Provider Demographics
NPI:1710229265
Name:ANGELSHARE HOMECARE, LLC
Entity Type:Organization
Organization Name:ANGELSHARE HOMECARE, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:FOUNDER/CEO
Authorized Official - Prefix:MRS
Authorized Official - First Name:LORRI
Authorized Official - Middle Name:MAE
Authorized Official - Last Name:BUSLER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:216-346-3016
Mailing Address - Street 1:3816 W. 132ND. ST.
Mailing Address - Street 2:
Mailing Address - City:CLEVELAND
Mailing Address - State:OH
Mailing Address - Zip Code:44111-4405
Mailing Address - Country:US
Mailing Address - Phone:216-346-3016
Mailing Address - Fax:
Practice Address - Street 1:3816 W 132ND ST
Practice Address - Street 2:
Practice Address - City:CLEVELAND
Practice Address - State:OH
Practice Address - Zip Code:44111-4405
Practice Address - Country:US
Practice Address - Phone:216-346-3016
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-03-22
Last Update Date:2013-03-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health