Provider Demographics
NPI:1669164653
Name:ANGELS OF LOVE HOME CARE LLC
Entity type:Organization
Organization Name:ANGELS OF LOVE HOME CARE LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:LOVELINA
Authorized Official - Middle Name:
Authorized Official - Last Name:TETTEH
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:860-244-3718
Mailing Address - Street 1:21 PHELPS RD
Mailing Address - Street 2:
Mailing Address - City:MANCHESTER
Mailing Address - State:CT
Mailing Address - Zip Code:06042-3209
Mailing Address - Country:US
Mailing Address - Phone:860-244-3718
Mailing Address - Fax:
Practice Address - Street 1:21 PHELPS RD
Practice Address - Street 2:
Practice Address - City:MANCHESTER
Practice Address - State:CT
Practice Address - Zip Code:06042-3209
Practice Address - Country:US
Practice Address - Phone:860-245-1118
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-05-25
Last Update Date:2024-01-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care