Provider Demographics
NPI:1669718342
Name:ANGELS ON CALL HOMECARE LLC
Entity type:Organization
Organization Name:ANGELS ON CALL HOMECARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MRS
Authorized Official - First Name:PAMELA
Authorized Official - Middle Name:
Authorized Official - Last Name:FITZPATRICK
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:845-628-2255
Mailing Address - Street 1:667 STONELEIGH AVE
Mailing Address - Street 2:SUITE 302A
Mailing Address - City:CARMEL
Mailing Address - State:NY
Mailing Address - Zip Code:10512-2454
Mailing Address - Country:US
Mailing Address - Phone:845-628-2255
Mailing Address - Fax:845-628-2258
Practice Address - Street 1:667 STONELEIGH AVE
Practice Address - Street 2:SUITE 302A
Practice Address - City:CARMEL
Practice Address - State:NY
Practice Address - Zip Code:10512-2454
Practice Address - Country:US
Practice Address - Phone:845-628-2255
Practice Address - Fax:845-628-2258
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-12-27
Last Update Date:2016-04-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY1807L001251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health