Provider Demographics
NPI:1962033969
Name:ANGELS OF LOVE HOME CARE, LLC
Entity Type:Organization
Organization Name:ANGELS OF LOVE HOME CARE, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:GODESHIA
Authorized Official - Middle Name:F
Authorized Official - Last Name:PRICE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:504-657-4019
Mailing Address - Street 1:700 PAPWORTH AVE
Mailing Address - Street 2:
Mailing Address - City:METAIRIE
Mailing Address - State:LA
Mailing Address - Zip Code:70005-3009
Mailing Address - Country:US
Mailing Address - Phone:504-657-4019
Mailing Address - Fax:
Practice Address - Street 1:700 PAPWORTH AVE
Practice Address - Street 2:
Practice Address - City:METAIRIE
Practice Address - State:LA
Practice Address - Zip Code:70005-3009
Practice Address - Country:US
Practice Address - Phone:504-657-4019
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-01-29
Last Update Date:2020-08-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes3747P1801XNursing Service Related ProvidersTechnicianPersonal Care AttendantGroup - Single Specialty