Provider Demographics
NPI:1356928022
Name:MICHAELS ANGELS HOME HEALTHCARE LLC
Entity type:Organization
Organization Name:MICHAELS ANGELS HOME HEALTHCARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO/OWNER
Authorized Official - Prefix:MRS
Authorized Official - First Name:ALEXIA
Authorized Official - Middle Name:M
Authorized Official - Last Name:ALY
Authorized Official - Suffix:
Authorized Official - Credentials:MHA
Authorized Official - Phone:513-885-9625
Mailing Address - Street 1:9460 HADDINGTON CT
Mailing Address - Street 2:
Mailing Address - City:CINCINNATI
Mailing Address - State:OH
Mailing Address - Zip Code:45251-5131
Mailing Address - Country:US
Mailing Address - Phone:513-885-9625
Mailing Address - Fax:
Practice Address - Street 1:9460 HADDINGTON CT
Practice Address - Street 2:
Practice Address - City:CINCINNATI
Practice Address - State:OH
Practice Address - Zip Code:45251-5131
Practice Address - Country:US
Practice Address - Phone:513-885-9625
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-03-26
Last Update Date:2022-03-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes251E00000XAgenciesHome Health
No163W00000XNursing Service ProvidersRegistered NurseGroup - Multi-Specialty
No174200000XOther Service ProvidersMeals
No251B00000XAgenciesCase Management
No251C00000XAgenciesDay Training, Developmentally Disabled Services
No343900000XTransportation ServicesNon-emergency Medical Transport (VAN)
No3747P1801XNursing Service Related ProvidersTechnicianPersonal Care AttendantGroup - Multi-Specialty
No385HR2060XRespite Care FacilityRespite CareRespite Care, Intellectual and/or Developmental Disabilities, ChildGroup - Multi-Specialty