Provider Demographics
NPI:1013150366
Name:ANGELS FOR ELDERS, INC
Entity Type:Organization
Organization Name:ANGELS FOR ELDERS, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:KAREN
Authorized Official - Middle Name:S
Authorized Official - Last Name:RUST
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:512-847-7445
Mailing Address - Street 1:221 TWILIGHT TRL
Mailing Address - Street 2:
Mailing Address - City:WIMBERLEY
Mailing Address - State:TX
Mailing Address - Zip Code:78676-9517
Mailing Address - Country:US
Mailing Address - Phone:512-847-7445
Mailing Address - Fax:800-524-1161
Practice Address - Street 1:221 TWILIGHT TRL
Practice Address - Street 2:
Practice Address - City:WIMBERLEY
Practice Address - State:TX
Practice Address - Zip Code:78676-9517
Practice Address - Country:US
Practice Address - Phone:512-847-7445
Practice Address - Fax:800-524-1161
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-04-16
Last Update Date:2009-04-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX007970251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health