Provider Demographics
NPI:1760984264
Name:YANNI'S ANGELS SUPPORT SERVICES INC.
Entity Type:Organization
Organization Name:YANNI'S ANGELS SUPPORT SERVICES INC.
Other - Org Name:YANNI'S ANGELS HOME HEALTHCARE L.C.
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:APRIL
Authorized Official - Middle Name:MARIE
Authorized Official - Last Name:DAVIS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:757-292-5376
Mailing Address - Street 1:302 GREENFIELD CRES
Mailing Address - Street 2:
Mailing Address - City:SUFFOLK
Mailing Address - State:VA
Mailing Address - Zip Code:23434-4885
Mailing Address - Country:US
Mailing Address - Phone:757-292-5376
Mailing Address - Fax:
Practice Address - Street 1:806 LOUDOUN AVE
Practice Address - Street 2:
Practice Address - City:PORTSMOUTH
Practice Address - State:VA
Practice Address - Zip Code:23707-3217
Practice Address - Country:US
Practice Address - Phone:757-292-5376
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-03-01
Last Update Date:2024-03-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
No253Z00000XAgenciesIn Home Supportive Care