Provider Demographics
NPI:1891337150
Name:ANGELS AT-HOME CARE SERVICES
Entity Type:Organization
Organization Name:ANGELS AT-HOME CARE SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:FELICIANO
Authorized Official - Middle Name:JOSON
Authorized Official - Last Name:VERZOSA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:408-821-4501
Mailing Address - Street 1:771 CALAIS DR
Mailing Address - Street 2:
Mailing Address - City:HOLLISTER
Mailing Address - State:CA
Mailing Address - Zip Code:95023-6805
Mailing Address - Country:US
Mailing Address - Phone:408-821-4501
Mailing Address - Fax:888-427-9198
Practice Address - Street 1:771 CALAIS DR
Practice Address - Street 2:
Practice Address - City:HOLLISTER
Practice Address - State:CA
Practice Address - Zip Code:95023-6805
Practice Address - Country:US
Practice Address - Phone:408-821-4501
Practice Address - Fax:888-427-9198
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-10-08
Last Update Date:2019-10-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)