Provider Demographics
NPI:1396564381
Name:ANGELS HOME CARE SERVICES LLC
Entity type:Organization
Organization Name:ANGELS HOME CARE SERVICES LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:AGENCY DIRECTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:ETHELBERT
Authorized Official - Middle Name:U
Authorized Official - Last Name:MADUAKOLAM
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:919-604-9338
Mailing Address - Street 1:14101 CAPITAL BLVD STE 209
Mailing Address - Street 2:
Mailing Address - City:YOUNGSVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:27596-7854
Mailing Address - Country:US
Mailing Address - Phone:919-604-9338
Mailing Address - Fax:
Practice Address - Street 1:14101 CAPITAL BLVD STE 209
Practice Address - Street 2:
Practice Address - City:YOUNGSVILLE
Practice Address - State:NC
Practice Address - Zip Code:27596-7854
Practice Address - Country:US
Practice Address - Phone:948-343-6698
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-10-07
Last Update Date:2025-04-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care
No251E00000XAgenciesHome Health
No251J00000XAgenciesNursing Care