Provider Demographics
NPI:1669146429
Name:ANGELS OF ANNIE HOME CARE LLC
Entity type:Organization
Organization Name:ANGELS OF ANNIE HOME CARE LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:YOLANDA
Authorized Official - Middle Name:R
Authorized Official - Last Name:NEELYS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:346-422-9217
Mailing Address - Street 1:11111 KATY FWY STE 910
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77079-2119
Mailing Address - Country:US
Mailing Address - Phone:713-351-0914
Mailing Address - Fax:855-426-3916
Practice Address - Street 1:11111 KATY FREEWAY
Practice Address - Street 2:SUITE 910
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77079
Practice Address - Country:US
Practice Address - Phone:346-422-9217
Practice Address - Fax:855-426-3916
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-08-05
Last Update Date:2023-08-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care
Yes251E00000XAgenciesHome Health
No251G00000XAgenciesHospice Care, Community Based
No385H00000XRespite Care FacilityRespite Care
No282E00000XHospitalsLong Term Care Hospital