Provider Demographics
NPI:1841741444
Name:VIALSOMA LLC, DBA: ANGEL HANDS
Entity Type:Organization
Organization Name:VIALSOMA LLC, DBA: ANGEL HANDS
Other - Org Name:ANGELHANDSPHC
Other - Org Type:Doing Business As
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:ASTRID
Authorized Official - Middle Name:
Authorized Official - Last Name:ROMAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:915-633-4052
Mailing Address - Street 1:280 YSLETA LN
Mailing Address - Street 2:
Mailing Address - City:EL PASO
Mailing Address - State:TX
Mailing Address - Zip Code:79907-6320
Mailing Address - Country:US
Mailing Address - Phone:915-873-7166
Mailing Address - Fax:915-790-0026
Practice Address - Street 1:280 YSLETA LN
Practice Address - Street 2:
Practice Address - City:EL PASO
Practice Address - State:TX
Practice Address - Zip Code:79907-6320
Practice Address - Country:US
Practice Address - Phone:915-873-7166
Practice Address - Fax:915-790-0026
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:VIALSOMA LLC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2016-10-18
Last Update Date:2023-11-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes3747P1801XNursing Service Related ProvidersTechnicianPersonal Care AttendantGroup - Multi-Specialty
No253Z00000XAgenciesIn Home Supportive CareGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX001030131Medicaid