Provider Demographics
NPI:1902011216
Name:THE ANGELS
Entity Type:Organization
Organization Name:THE ANGELS
Other - Org Name:ANGELS ENTERPRISES INC
Other - Org Type:Other Name
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:MS
Authorized Official - First Name:CHRISTIEN
Authorized Official - Middle Name:O
Authorized Official - Last Name:OKOROAFOR
Authorized Official - Suffix:
Authorized Official - Credentials:LPN
Authorized Official - Phone:301-384-1999
Mailing Address - Street 1:1412 FARMCREST WAY
Mailing Address - Street 2:
Mailing Address - City:SILVER SPRING
Mailing Address - State:MD
Mailing Address - Zip Code:20905
Mailing Address - Country:US
Mailing Address - Phone:801-384-1999
Mailing Address - Fax:301-384-1999
Practice Address - Street 1:1412 FARMCREST WAY
Practice Address - Street 2:
Practice Address - City:SILVER SPRING
Practice Address - State:MD
Practice Address - Zip Code:20905
Practice Address - Country:US
Practice Address - Phone:301-384-1999
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-05-11
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDR2530164W00000X, 251E00000X
DCR2530164W00000X, 251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Not Answered164W00000XNursing Service ProvidersLicensed Practical NurseGroup - Multi-Specialty
Not Answered251E00000XAgenciesHome Health