Provider Demographics
NPI:1891475323
Name:ANGEL CARE HOME HEALTH LLC
Entity Type:Organization
Organization Name:ANGEL CARE HOME HEALTH LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:CHRISTOPHER
Authorized Official - Middle Name:G
Authorized Official - Last Name:EDWARDS
Authorized Official - Suffix:SR
Authorized Official - Credentials:
Authorized Official - Phone:803-616-9308
Mailing Address - Street 1:12019 DUKE LANCASTER DR
Mailing Address - Street 2:
Mailing Address - City:CHARLOTTE
Mailing Address - State:NC
Mailing Address - Zip Code:28277-4032
Mailing Address - Country:US
Mailing Address - Phone:803-616-9308
Mailing Address - Fax:
Practice Address - Street 1:12019 DUKE LANCASTER DR
Practice Address - Street 2:
Practice Address - City:CHARLOTTE
Practice Address - State:NC
Practice Address - Zip Code:28277-4032
Practice Address - Country:US
Practice Address - Phone:803-616-9308
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-07-19
Last Update Date:2023-07-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes374U00000XNursing Service Related ProvidersHome Health AideGroup - Multi-Specialty