Provider Demographics
NPI:1942619242
Name:CARING ANGELS HOME HEALTHCARE LLC
Entity Type:Organization
Organization Name:CARING ANGELS HOME HEALTHCARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:ELIZABETH
Authorized Official - Middle Name:
Authorized Official - Last Name:KIMUNGU
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:978-376-9167
Mailing Address - Street 1:300 BRICKSTONE SQ
Mailing Address - Street 2:SUITE 201 OFFICE 247
Mailing Address - City:ANDOVER
Mailing Address - State:MA
Mailing Address - Zip Code:01810-1492
Mailing Address - Country:US
Mailing Address - Phone:978-376-1961
Mailing Address - Fax:
Practice Address - Street 1:300 BRICKSTONE SQ
Practice Address - Street 2:SUITE 201 OFFICE 247
Practice Address - City:ANDOVER
Practice Address - State:MA
Practice Address - Zip Code:01810-1492
Practice Address - Country:US
Practice Address - Phone:978-376-1961
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-08-12
Last Update Date:2015-10-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health