Provider Demographics
NPI:1457897571
Name:ANGELS FAMILY LLC
Entity Type:Organization
Organization Name:ANGELS FAMILY LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:MR
Authorized Official - First Name:CONSTANTINO
Authorized Official - Middle Name:
Authorized Official - Last Name:CRUZ
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:303-642-5502
Mailing Address - Street 1:5155 W CUSTER PL
Mailing Address - Street 2:
Mailing Address - City:DENVER
Mailing Address - State:CO
Mailing Address - Zip Code:80219-2297
Mailing Address - Country:US
Mailing Address - Phone:303-642-5502
Mailing Address - Fax:303-935-7319
Practice Address - Street 1:5155 W CUSTER PL
Practice Address - Street 2:
Practice Address - City:DENVER
Practice Address - State:CO
Practice Address - Zip Code:80219-2297
Practice Address - Country:US
Practice Address - Phone:303-642-5502
Practice Address - Fax:303-935-7319
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-01-12
Last Update Date:2017-01-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251C00000XAgenciesDay Training, Developmentally Disabled Services
No253J00000XAgenciesFoster Care Agency
No385H00000XRespite Care FacilityRespite Care