Provider Demographics
NPI:1700275278
Name:ANGELS HOMECARE SERVICES INC.
Entity Type:Organization
Organization Name:ANGELS HOMECARE SERVICES INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:ALDIAN
Authorized Official - Middle Name:CABALSE
Authorized Official - Last Name:ESTACION
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:847-312-2777
Mailing Address - Street 1:2200 S MAIN ST STE 206
Mailing Address - Street 2:
Mailing Address - City:LOMBARD
Mailing Address - State:IL
Mailing Address - Zip Code:60148-5365
Mailing Address - Country:US
Mailing Address - Phone:312-877-0773
Mailing Address - Fax:630-613-8843
Practice Address - Street 1:2200 S MAIN ST STE 206
Practice Address - Street 2:
Practice Address - City:LOMBARD
Practice Address - State:IL
Practice Address - Zip Code:60148-5365
Practice Address - Country:US
Practice Address - Phone:312-877-0773
Practice Address - Fax:630-613-8843
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-01-21
Last Update Date:2020-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL3001148253Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care