Provider Demographics
NPI:1760729354
Name:ANGELS HOME HEALTHCARE, INC
Entity Type:Organization
Organization Name:ANGELS HOME HEALTHCARE, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MS
Authorized Official - First Name:MAI
Authorized Official - Middle Name:NENG
Authorized Official - Last Name:HER
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:763-607-5298
Mailing Address - Street 1:2943 OLIVER AVE N
Mailing Address - Street 2:
Mailing Address - City:MINNEAPOLIS
Mailing Address - State:MN
Mailing Address - Zip Code:55411-1111
Mailing Address - Country:US
Mailing Address - Phone:763-607-5298
Mailing Address - Fax:
Practice Address - Street 1:2943 OLIVER AVE N
Practice Address - Street 2:
Practice Address - City:MINNEAPOLIS
Practice Address - State:MN
Practice Address - Zip Code:55411-1111
Practice Address - Country:US
Practice Address - Phone:763-607-5298
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-01-16
Last Update Date:2013-01-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health