Provider Demographics
NPI:1457603821
Name:A PLUS ANGELS, LLC.
Entity Type:Organization
Organization Name:A PLUS ANGELS, LLC.
Other - Org Name:A ANGELS HOMECARE ASSISTANCE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:MS
Authorized Official - First Name:TIFFANY
Authorized Official - Middle Name:
Authorized Official - Last Name:POCHE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:832-405-2511
Mailing Address - Street 1:3707 FM 1960 RD W
Mailing Address - Street 2:SUITE 200G
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77068-3526
Mailing Address - Country:US
Mailing Address - Phone:832-405-2511
Mailing Address - Fax:
Practice Address - Street 1:3707 FM 1960 RD W
Practice Address - Street 2:SUITE 200G
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77068-3526
Practice Address - Country:US
Practice Address - Phone:832-405-2511
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-10-10
Last Update Date:2016-05-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX0170543747P1801X
253Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes253Z00000XAgenciesIn Home Supportive Care
Yes3747P1801XNursing Service Related ProvidersTechnicianPersonal Care AttendantGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX355811601Medicaid