Provider Demographics
NPI:1750473989
Name:ANGELS OF HOPE, LLC
Entity Type:Organization
Organization Name:ANGELS OF HOPE, LLC
Other - Org Name:ANGELS OF HOPE HOSPICE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:STEVE
Authorized Official - Middle Name:VAUGHN
Authorized Official - Last Name:FREDERICK
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:205-470-1019
Mailing Address - Street 1:1111 COUNTY ROAD 546
Mailing Address - Street 2:
Mailing Address - City:VERBENA
Mailing Address - State:AL
Mailing Address - Zip Code:36091
Mailing Address - Country:US
Mailing Address - Phone:205-280-0510
Mailing Address - Fax:205-263-6474
Practice Address - Street 1:1605 VERNON ROAD
Practice Address - Street 2:SUITE 1000
Practice Address - City:LAGRANGE
Practice Address - State:GA
Practice Address - Zip Code:30240
Practice Address - Country:US
Practice Address - Phone:706-885-0264
Practice Address - Fax:706-885-0262
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-09-28
Last Update Date:2013-04-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251G00000XAgenciesHospice Care, Community Based