Provider Demographics
NPI:1972853232
Name:ANGELS TOUCH HOSPICE, INC.
Entity Type:Organization
Organization Name:ANGELS TOUCH HOSPICE, INC.
Other - Org Name:GREAT LAKES CARING
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT AND CEO
Authorized Official - Prefix:
Authorized Official - First Name:ADAM
Authorized Official - Middle Name:D
Authorized Official - Last Name:NIELSEN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:517-780-9500
Mailing Address - Street 1:21 ASH ST
Mailing Address - Street 2:STE 5
Mailing Address - City:FRANKFORT
Mailing Address - State:IL
Mailing Address - Zip Code:60423-1594
Mailing Address - Country:US
Mailing Address - Phone:815-464-5560
Mailing Address - Fax:708-310-4270
Practice Address - Street 1:21 ASH ST
Practice Address - Street 2:STE 5
Practice Address - City:FRANKFORT
Practice Address - State:IL
Practice Address - Zip Code:60423-1594
Practice Address - Country:US
Practice Address - Phone:815-464-5560
Practice Address - Fax:708-310-4270
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-09-14
Last Update Date:2017-05-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL251G00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251G00000XAgenciesHospice Care, Community Based