Provider Demographics
NPI:1992381230
Name:ANGELS PROVIDING CARE STAFFING LLC
Entity Type:Organization
Organization Name:ANGELS PROVIDING CARE STAFFING LLC
Other - Org Name:ANGLES PROVIDING CARE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER/PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:FELICIA
Authorized Official - Middle Name:
Authorized Official - Last Name:NASH
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:469-274-2828
Mailing Address - Street 1:3216 NANDINA DR
Mailing Address - Street 2:
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75241-6527
Mailing Address - Country:US
Mailing Address - Phone:469-274-2828
Mailing Address - Fax:
Practice Address - Street 1:1411 E CAMPBELL RD STE 400
Practice Address - Street 2:
Practice Address - City:RICHARDSON
Practice Address - State:TX
Practice Address - Zip Code:75081-1990
Practice Address - Country:US
Practice Address - Phone:469-274-2828
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-03-18
Last Update Date:2021-03-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health