Provider Demographics
NPI:1295561595
Name:AMAZING ANGELS LLC.
Entity type:Organization
Organization Name:AMAZING ANGELS LLC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/ALTERNATIVE ADMINISTRATOR
Authorized Official - Prefix:MS
Authorized Official - First Name:SHARELLE
Authorized Official - Middle Name:YOLANDA
Authorized Official - Last Name:TURNER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:757-987-1653
Mailing Address - Street 1:259 GRANBY ST STE 259
Mailing Address - Street 2:
Mailing Address - City:NORFOLK
Mailing Address - State:VA
Mailing Address - Zip Code:23510-1810
Mailing Address - Country:US
Mailing Address - Phone:757-987-1653
Mailing Address - Fax:757-622-8288
Practice Address - Street 1:259 GRANBY ST STE 259
Practice Address - Street 2:
Practice Address - City:NORFOLK
Practice Address - State:VA
Practice Address - Zip Code:23510-1810
Practice Address - Country:US
Practice Address - Phone:757-987-1653
Practice Address - Fax:757-622-8288
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-09-12
Last Update Date:2024-09-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health