Provider Demographics
NPI:1013305465
Name:ANGELS AT HEART HOME CARE L.L.C.
Entity Type:Organization
Organization Name:ANGELS AT HEART HOME CARE L.L.C.
Other - Org Name:ANGELS AT HAERT HOME CARE L.L.C.
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MRS
Authorized Official - First Name:LARETTA
Authorized Official - Middle Name:SHANTELL
Authorized Official - Last Name:ANGLE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:704-762-9364
Mailing Address - Street 1:323 N MAIN ST
Mailing Address - Street 2:
Mailing Address - City:SALISBURY
Mailing Address - State:NC
Mailing Address - Zip Code:28144-4301
Mailing Address - Country:US
Mailing Address - Phone:704-762-9364
Mailing Address - Fax:704-762-9364
Practice Address - Street 1:1324 E COUNCIL ST
Practice Address - Street 2:
Practice Address - City:SALISBURY
Practice Address - State:NC
Practice Address - Zip Code:28146-4704
Practice Address - Country:US
Practice Address - Phone:704-762-9364
Practice Address - Fax:704-762-9364
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-01-07
Last Update Date:2015-01-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCHC4649253Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care