Provider Demographics
NPI:1205080132
Name:ANGELCARE HOME HEALTH CARE, INC.
Entity type:Organization
Organization Name:ANGELCARE HOME HEALTH CARE, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:KAREN
Authorized Official - Middle Name:S
Authorized Official - Last Name:BHAGWAT
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:248-747-0124
Mailing Address - Street 1:28930 GREENING ST
Mailing Address - Street 2:
Mailing Address - City:FARMINGTON HILLS
Mailing Address - State:MI
Mailing Address - Zip Code:48334-2985
Mailing Address - Country:US
Mailing Address - Phone:248-747-0124
Mailing Address - Fax:
Practice Address - Street 1:8057 MILLER RD
Practice Address - Street 2:STE B
Practice Address - City:SWARTZ CREEK
Practice Address - State:MI
Practice Address - Zip Code:48473
Practice Address - Country:US
Practice Address - Phone:248-747-0124
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-11-05
Last Update Date:2009-03-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health