Provider Demographics
NPI:1891209300
Name:AMAZING ANGEL CAREGIVING SERVICES
Entity Type:Organization
Organization Name:AMAZING ANGEL CAREGIVING SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:DESIREE
Authorized Official - Middle Name:
Authorized Official - Last Name:DEL ROSARIO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:702-580-0012
Mailing Address - Street 1:2980 S RAINBOW BLVD # 110-C
Mailing Address - Street 2:
Mailing Address - City:LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89146-6531
Mailing Address - Country:US
Mailing Address - Phone:702-580-0012
Mailing Address - Fax:702-665-6929
Practice Address - Street 1:2980 S RAINBOW BLVD # 110-C
Practice Address - Street 2:
Practice Address - City:LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89146-6531
Practice Address - Country:US
Practice Address - Phone:702-580-0012
Practice Address - Fax:702-665-6929
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:AMAZING ANGEL SERVICES LTD
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2017-11-20
Last Update Date:2020-07-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes3747P1801XNursing Service Related ProvidersTechnicianPersonal Care AttendantGroup - Single Specialty