Provider Demographics
NPI:1700345055
Name:ANGEL OF CARE HOME HEALTH SERVICES LLC
Entity type:Organization
Organization Name:ANGEL OF CARE HOME HEALTH SERVICES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:MARGARET
Authorized Official - Middle Name:
Authorized Official - Last Name:SIDIQUE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:240-704-1843
Mailing Address - Street 1:3115 FAIRLAND RD
Mailing Address - Street 2:
Mailing Address - City:SILVER SPRING
Mailing Address - State:MD
Mailing Address - Zip Code:20904-7120
Mailing Address - Country:US
Mailing Address - Phone:240-704-1843
Mailing Address - Fax:
Practice Address - Street 1:3115 FAIRLAND RD
Practice Address - Street 2:
Practice Address - City:SILVER SPRING
Practice Address - State:MD
Practice Address - Zip Code:20904-7120
Practice Address - Country:US
Practice Address - Phone:240-704-1843
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-03-17
Last Update Date:2019-06-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health