Provider Demographics
NPI:1245047158
Name:ANGELS COMMUNITY CARE, LLC
Entity type:Organization
Organization Name:ANGELS COMMUNITY CARE, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:JONAS
Authorized Official - Middle Name:
Authorized Official - Last Name:NJINKENG
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:202-491-0829
Mailing Address - Street 1:6585 PFEIFER ASH DR
Mailing Address - Street 2:
Mailing Address - City:CANAL WHCHSTR
Mailing Address - State:OH
Mailing Address - Zip Code:43110-6540
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:6585 PFEIFER ASH DR
Practice Address - Street 2:
Practice Address - City:CANAL WHCHSTR
Practice Address - State:OH
Practice Address - Zip Code:43110-6540
Practice Address - Country:US
Practice Address - Phone:202-491-0829
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-12-13
Last Update Date:2024-12-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care
No251E00000XAgenciesHome Health
No385H00000XRespite Care FacilityRespite Care