Provider Demographics
NPI:1013163161
Name:ANGEL MINISTRIES, LLC
Entity type:Organization
Organization Name:ANGEL MINISTRIES, LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:TERESA
Authorized Official - Middle Name:
Authorized Official - Last Name:SIMPSON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:623-266-9304
Mailing Address - Street 1:14050 N 83RD AVE
Mailing Address - Street 2:SUITE #290
Mailing Address - City:PEORIA
Mailing Address - State:AZ
Mailing Address - Zip Code:85381-5638
Mailing Address - Country:US
Mailing Address - Phone:623-266-9304
Mailing Address - Fax:866-836-2914
Practice Address - Street 1:14050 N 83RD AVE
Practice Address - Street 2:SUITE #290
Practice Address - City:PEORIA
Practice Address - State:AZ
Practice Address - Zip Code:85381-5638
Practice Address - Country:US
Practice Address - Phone:623-266-9304
Practice Address - Fax:866-836-2914
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-08-08
Last Update Date:2014-10-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health