Provider Demographics
NPI:1891089611
Name:ALI'S ANGELS HOME CARE INC.
Entity Type:Organization
Organization Name:ALI'S ANGELS HOME CARE INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:ZACHARY
Authorized Official - Middle Name:
Authorized Official - Last Name:TAYLOR
Authorized Official - Suffix:
Authorized Official - Credentials:BS
Authorized Official - Phone:801-337-4141
Mailing Address - Street 1:PO BOX 934
Mailing Address - Street 2:
Mailing Address - City:BRIGHAM CITY
Mailing Address - State:UT
Mailing Address - Zip Code:84302-0934
Mailing Address - Country:US
Mailing Address - Phone:801-337-4141
Mailing Address - Fax:801-337-5474
Practice Address - Street 1:2470 MARILYN DR
Practice Address - Street 2:
Practice Address - City:PERRY
Practice Address - State:UT
Practice Address - Zip Code:84302-4150
Practice Address - Country:US
Practice Address - Phone:801-337-4141
Practice Address - Fax:801-337-5474
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-06-09
Last Update Date:2012-11-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
UT2012-HHA-105399251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health