Provider Demographics
NPI:1912189630
Name:ANGEL HOME HEALTHCARE SERVICES,INC
Entity Type:Organization
Organization Name:ANGEL HOME HEALTHCARE SERVICES,INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MRS
Authorized Official - First Name:RAJ
Authorized Official - Middle Name:
Authorized Official - Last Name:RANI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:734-956-6083
Mailing Address - Street 1:29217 FORD RD
Mailing Address - Street 2:SUITE 118
Mailing Address - City:GARDEN CITY
Mailing Address - State:MI
Mailing Address - Zip Code:48135-2889
Mailing Address - Country:US
Mailing Address - Phone:734-956-6083
Mailing Address - Fax:734-956-6084
Practice Address - Street 1:29217 FORD RD
Practice Address - Street 2:SUITE 118
Practice Address - City:GARDEN CITY
Practice Address - State:MI
Practice Address - Zip Code:48135-2889
Practice Address - Country:US
Practice Address - Phone:734-956-6083
Practice Address - Fax:734-956-6084
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-12-05
Last Update Date:2008-04-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health