Provider Demographics
NPI:1124808852
Name:ANGELS HANDS HOME CARE LLC
Entity type:Organization
Organization Name:ANGELS HANDS HOME CARE LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:MS
Authorized Official - First Name:GIFTY
Authorized Official - Middle Name:
Authorized Official - Last Name:OPOKU
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:703-296-6853
Mailing Address - Street 1:6200 N KINGS HWY APT 340
Mailing Address - Street 2:
Mailing Address - City:ALEXANDRIA
Mailing Address - State:VA
Mailing Address - Zip Code:22303-2918
Mailing Address - Country:US
Mailing Address - Phone:703-296-6853
Mailing Address - Fax:
Practice Address - Street 1:6200 N KINGS HWY APT 340
Practice Address - Street 2:
Practice Address - City:ALEXANDRIA
Practice Address - State:VA
Practice Address - Zip Code:22303-2918
Practice Address - Country:US
Practice Address - Phone:703-296-6853
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-10-02
Last Update Date:2025-04-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes253Z00000XAgenciesIn Home Supportive CareGroup - Multi-Specialty
No3747A0650XNursing Service Related ProvidersTechnicianAttendant Care ProviderGroup - Multi-Specialty