Provider Demographics
NPI:1013637412
Name:ANGELS ON GUARD HOMECARE LLC
Entity type:Organization
Organization Name:ANGELS ON GUARD HOMECARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:BETHANY-NERIAH
Authorized Official - Middle Name:
Authorized Official - Last Name:EKAM
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:404-424-3172
Mailing Address - Street 1:181 N POTTSTOWN PIKE UNIT 1411
Mailing Address - Street 2:
Mailing Address - City:EXTON
Mailing Address - State:PA
Mailing Address - Zip Code:19341-2251
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:600 EAGLEVIEW BLVD STE 300
Practice Address - Street 2:
Practice Address - City:EXTON
Practice Address - State:PA
Practice Address - Zip Code:19341-1224
Practice Address - Country:US
Practice Address - Phone:404-424-3172
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-08-29
Last Update Date:2024-03-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care