Provider Demographics
NPI:1639063993
Name:FAMILY OF ANGELS LLC
Entity type:Organization
Organization Name:FAMILY OF ANGELS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:MR
Authorized Official - First Name:IMRAN
Authorized Official - Middle Name:
Authorized Official - Last Name:KAYANI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:248-632-4422
Mailing Address - Street 1:222 EAST 13 MILE RD.
Mailing Address - Street 2:
Mailing Address - City:ROYAL OAK
Mailing Address - State:MI
Mailing Address - Zip Code:48073-2656
Mailing Address - Country:US
Mailing Address - Phone:248-632-4422
Mailing Address - Fax:
Practice Address - Street 1:222 EAST 13 MILE RD.
Practice Address - Street 2:
Practice Address - City:ROYAL OAK
Practice Address - State:MI
Practice Address - Zip Code:48073-2656
Practice Address - Country:US
Practice Address - Phone:248-632-4422
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-06-03
Last Update Date:2025-06-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes311ZA0620XNursing & Custodial Care FacilitiesCustodial Care FacilityAdult Care Home