Provider Demographics
NPI:1891012597
Name:VISITING ANGELS
Entity Type:Organization
Organization Name:VISITING ANGELS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:LORI
Authorized Official - Middle Name:
Authorized Official - Last Name:RATHGEBER
Authorized Official - Suffix:
Authorized Official - Credentials:CALA, LPN
Authorized Official - Phone:732-240-1050
Mailing Address - Street 1:1747 HOOPER AVE
Mailing Address - Street 2:SUITE 16
Mailing Address - City:TOMS RIVER
Mailing Address - State:NJ
Mailing Address - Zip Code:08753-8165
Mailing Address - Country:US
Mailing Address - Phone:732-240-1050
Mailing Address - Fax:
Practice Address - Street 1:1747 HOOPER AVE
Practice Address - Street 2:SUITE 16
Practice Address - City:TOMS RIVER
Practice Address - State:NJ
Practice Address - Zip Code:08753-8165
Practice Address - Country:US
Practice Address - Phone:732-240-1050
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-04-21
Last Update Date:2010-04-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJHP0094500251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health