Provider Demographics
NPI:1891137741
Name:ARCANGEL HOME CARE AGENCY , INC
Entity Type:Organization
Organization Name:ARCANGEL HOME CARE AGENCY , INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:JORGE
Authorized Official - Middle Name:FELIX
Authorized Official - Last Name:SOCARRAS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:786-601-2130
Mailing Address - Street 1:1452 N KROME AVE
Mailing Address - Street 2:SUITE 102 G
Mailing Address - City:FLORIDA CITY
Mailing Address - State:FL
Mailing Address - Zip Code:33034-2440
Mailing Address - Country:US
Mailing Address - Phone:786-601-2130
Mailing Address - Fax:786-601-2130
Practice Address - Street 1:1452 N KROME AVE
Practice Address - Street 2:SUITE 102 G
Practice Address - City:FLORIDA CITY
Practice Address - State:FL
Practice Address - Zip Code:33034-2440
Practice Address - Country:US
Practice Address - Phone:786-601-2130
Practice Address - Fax:786-601-2130
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-07-20
Last Update Date:2013-07-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health