Provider Demographics
NPI:1922375534
Name:ANGELS AT YOUR SERVICE HOME CARE, INC
Entity Type:Organization
Organization Name:ANGELS AT YOUR SERVICE HOME CARE, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT/ADMINISTRATOR
Authorized Official - Prefix:MISS
Authorized Official - First Name:SHERILYN
Authorized Official - Middle Name:
Authorized Official - Last Name:SMITH
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:210-885-3944
Mailing Address - Street 1:4211 GARDENDALE ST
Mailing Address - Street 2:SUITE 105A
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78229-3180
Mailing Address - Country:US
Mailing Address - Phone:210-885-3944
Mailing Address - Fax:210-680-8892
Practice Address - Street 1:4211 GARDENDALE ST
Practice Address - Street 2:SUITE 105A
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78229-3180
Practice Address - Country:US
Practice Address - Phone:210-885-3944
Practice Address - Fax:210-680-8892
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-11-28
Last Update Date:2011-11-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health