Provider Demographics
NPI:1750840591
Name:HANDS OF ANGELS HOMECARE
Entity Type:Organization
Organization Name:HANDS OF ANGELS HOMECARE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:GENERAL MANAGER/ OWNER
Authorized Official - Prefix:
Authorized Official - First Name:MOZITA
Authorized Official - Middle Name:
Authorized Official - Last Name:PRINCE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:816-517-2868
Mailing Address - Street 1:9915 E 63RD ST STE E
Mailing Address - Street 2:
Mailing Address - City:RAYTOWN
Mailing Address - State:MO
Mailing Address - Zip Code:64133-5021
Mailing Address - Country:US
Mailing Address - Phone:816-490-6651
Mailing Address - Fax:
Practice Address - Street 1:9915 E 63RD ST STE E
Practice Address - Street 2:
Practice Address - City:RAYTOWN
Practice Address - State:MO
Practice Address - Zip Code:64133-5021
Practice Address - Country:US
Practice Address - Phone:816-490-6651
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-03-19
Last Update Date:2019-03-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health