Provider Demographics
NPI:1669532628
Name:ANGEL'S CARE INC
Entity type:Organization
Organization Name:ANGEL'S CARE INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:VICE PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:EUGENE
Authorized Official - Middle Name:
Authorized Official - Last Name:GOLDSHTEYN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:215-288-5200
Mailing Address - Street 1:PO BOX 52402
Mailing Address - Street 2:
Mailing Address - City:PHILADELPHIA
Mailing Address - State:PA
Mailing Address - Zip Code:19115-7402
Mailing Address - Country:US
Mailing Address - Phone:215-288-5200
Mailing Address - Fax:215-473-1122
Practice Address - Street 1:3901 CONSHOHOCKEN AVE
Practice Address - Street 2:SUITE 2
Practice Address - City:PHILADELPHIA
Practice Address - State:PA
Practice Address - Zip Code:19131-5430
Practice Address - Country:US
Practice Address - Phone:215-288-5200
Practice Address - Fax:215-473-1122
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-12-11
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PA3246923416L0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3416L0300XTransportation ServicesAmbulanceLand Transport
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA1013539660001Medicaid
PA090100Medicare ID - Type Unspecified