Provider Demographics
NPI:1851785372
Name:ARCHANGEL MEDICAL LLC
Entity Type:Organization
Organization Name:ARCHANGEL MEDICAL LLC
Other - Org Name:ARCHANGEL HOME HEALTH
Other - Org Type:Doing Business As
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:BRENDA
Authorized Official - Middle Name:
Authorized Official - Last Name:MOSHA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:832-276-0334
Mailing Address - Street 1:6630 HORNWOOD DR
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77074-5010
Mailing Address - Country:US
Mailing Address - Phone:832-276-0334
Mailing Address - Fax:832-252-6601
Practice Address - Street 1:6630 HORNWOOD DR
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77074-5010
Practice Address - Country:US
Practice Address - Phone:832-276-0334
Practice Address - Fax:832-252-6601
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-03-23
Last Update Date:2015-03-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health