Provider Demographics
NPI:1962856898
Name:ANGELS HOME HEALTH LLC
Entity Type:Organization
Organization Name:ANGELS HOME HEALTH LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:ELIZABETH
Authorized Official - Middle Name:
Authorized Official - Last Name:NINO
Authorized Official - Suffix:
Authorized Official - Credentials:FNP
Authorized Official - Phone:239-351-2298
Mailing Address - Street 1:1110 PINE RIDGE RD STE 201
Mailing Address - Street 2:
Mailing Address - City:NAPLES
Mailing Address - State:FL
Mailing Address - Zip Code:34108-8927
Mailing Address - Country:US
Mailing Address - Phone:239-351-2298
Mailing Address - Fax:239-331-3570
Practice Address - Street 1:1110 PINE RIDGE RD STE 201
Practice Address - Street 2:
Practice Address - City:NAPLES
Practice Address - State:FL
Practice Address - Zip Code:34108-8927
Practice Address - Country:US
Practice Address - Phone:239-351-2298
Practice Address - Fax:239-331-3570
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-04-18
Last Update Date:2023-08-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamilyGroup - Single Specialty