Provider Demographics
NPI:1922618925
Name:MARIA ANGELS OF CARE LLC
Entity Type:Organization
Organization Name:MARIA ANGELS OF CARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:REGINA
Authorized Official - Middle Name:MARIE
Authorized Official - Last Name:CHEATHAM
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:330-472-1901
Mailing Address - Street 1:1717 BRITTAIN RD STE 103
Mailing Address - Street 2:
Mailing Address - City:AKRON
Mailing Address - State:OH
Mailing Address - Zip Code:44310-1879
Mailing Address - Country:US
Mailing Address - Phone:330-472-1901
Mailing Address - Fax:
Practice Address - Street 1:1717 BRITTAIN RD STE 1031717
Practice Address - Street 2:
Practice Address - City:AKRON
Practice Address - State:OH
Practice Address - Zip Code:44310-1846
Practice Address - Country:US
Practice Address - Phone:330-472-1901
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-08-04
Last Update Date:2020-08-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health