Provider Demographics
NPI:1790081081
Name:ABBAS ANGELS INC
Entity Type:Organization
Organization Name:ABBAS ANGELS INC
Other - Org Name:ABSOLUTE ANGELS HOME HEALTH
Other - Org Type:Doing Business As
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:MR
Authorized Official - First Name:JEFFRIE
Authorized Official - Middle Name:ALAN
Authorized Official - Last Name:POPPLEWELL
Authorized Official - Suffix:
Authorized Official - Credentials:MA
Authorized Official - Phone:260-466-3227
Mailing Address - Street 1:621 W OAKDALE DR
Mailing Address - Street 2:SUITE A
Mailing Address - City:FORT WAYNE
Mailing Address - State:IN
Mailing Address - Zip Code:46807-1809
Mailing Address - Country:US
Mailing Address - Phone:260-466-3227
Mailing Address - Fax:260-744-6090
Practice Address - Street 1:621 W OAKDALE DR
Practice Address - Street 2:SUITE A
Practice Address - City:FORT WAYNE
Practice Address - State:IN
Practice Address - Zip Code:46807-1809
Practice Address - Country:US
Practice Address - Phone:260-466-3227
Practice Address - Fax:260-744-6090
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-02-03
Last Update Date:2011-02-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN10-012462-1251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health