Provider Demographics
NPI:1558195768
Name:KOLIN ANGELS HOME HEALTH LLC
Entity type:Organization
Organization Name:KOLIN ANGELS HOME HEALTH LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:CHIKOSOLU
Authorized Official - Middle Name:I
Authorized Official - Last Name:IWOBI
Authorized Official - Suffix:
Authorized Official - Credentials:RN/APRN
Authorized Official - Phone:281-570-8205
Mailing Address - Street 1:21230 KINGSLAND BLVD STE 400
Mailing Address - Street 2:
Mailing Address - City:KATY
Mailing Address - State:TX
Mailing Address - Zip Code:77450-6130
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:21230 KINGSLAND BLVD
Practice Address - Street 2:
Practice Address - City:KATY
Practice Address - State:TX
Practice Address - Zip Code:77450-5899
Practice Address - Country:US
Practice Address - Phone:281-815-8205
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-08-29
Last Update Date:2025-01-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health