Provider Demographics
NPI:1922590645
Name:ANGELA'S CARE, LLC
Entity Type:Organization
Organization Name:ANGELA'S CARE, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:ANGELA
Authorized Official - Middle Name:MICHELE
Authorized Official - Last Name:WALKER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:585-802-1243
Mailing Address - Street 1:234 LATONA RD
Mailing Address - Street 2:
Mailing Address - City:ROCHESTER
Mailing Address - State:NY
Mailing Address - Zip Code:14626-3630
Mailing Address - Country:US
Mailing Address - Phone:585-802-1243
Mailing Address - Fax:585-787-4769
Practice Address - Street 1:46 FLOWER VALLEY CIR
Practice Address - Street 2:
Practice Address - City:PENFIELD
Practice Address - State:NY
Practice Address - Zip Code:14526-9767
Practice Address - Country:US
Practice Address - Phone:585-787-4769
Practice Address - Fax:585-787-4769
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-05-30
Last Update Date:2018-05-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health