Provider Demographics
NPI:1710523394
Name:CARING ANGELS HOME CARE LLC
Entity Type:Organization
Organization Name:CARING ANGELS HOME CARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:RUBIE
Authorized Official - Middle Name:JEAN
Authorized Official - Last Name:HERVEY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:810-422-5044
Mailing Address - Street 1:3500 FLUSHING RD
Mailing Address - Street 2:SUITE 209
Mailing Address - City:FLINT
Mailing Address - State:MI
Mailing Address - Zip Code:48504-4235
Mailing Address - Country:US
Mailing Address - Phone:810-422-5044
Mailing Address - Fax:810-326-4177
Practice Address - Street 1:3500 FLUSHING RD
Practice Address - Street 2:SUITE 209
Practice Address - City:FLINT
Practice Address - State:MI
Practice Address - Zip Code:48504-4235
Practice Address - Country:US
Practice Address - Phone:810-422-5044
Practice Address - Fax:810-326-4177
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:RUBIE PAYNE
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2019-11-19
Last Update Date:2019-11-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health