Provider Demographics
NPI:1790103588
Name:ANGELS HEALTH CARE, INC
Entity Type:Organization
Organization Name:ANGELS HEALTH CARE, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CHIEF EXECUTIVE OFFICER
Authorized Official - Prefix:MR
Authorized Official - First Name:IMMANUEL
Authorized Official - Middle Name:
Authorized Official - Last Name:KARPEH
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:410-391-8457
Mailing Address - Street 1:617 STEMMERS RUN RD
Mailing Address - Street 2:SUITE A1
Mailing Address - City:ESSEX
Mailing Address - State:MD
Mailing Address - Zip Code:21221-3334
Mailing Address - Country:US
Mailing Address - Phone:410-391-8457
Mailing Address - Fax:443-559-8360
Practice Address - Street 1:617 STEMMERS RUN RD
Practice Address - Street 2:SUITE A1
Practice Address - City:ESSEX
Practice Address - State:MD
Practice Address - Zip Code:21221-3334
Practice Address - Country:US
Practice Address - Phone:410-391-8457
Practice Address - Fax:443-559-8360
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-03-31
Last Update Date:2014-03-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDRS3021251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
MD8361037-00Medicaid
MD58361037-00Medicaid