Provider Demographics
NPI:1740029073
Name:ANGEL AT HOME HEALTH LLC
Entity type:Organization
Organization Name:ANGEL AT HOME HEALTH LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:PREM
Authorized Official - Middle Name:
Authorized Official - Last Name:GURUNG
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:717-435-9191
Mailing Address - Street 1:801 E PARK DR STE 106A
Mailing Address - Street 2:
Mailing Address - City:HARRISBURG
Mailing Address - State:PA
Mailing Address - Zip Code:17111-2816
Mailing Address - Country:US
Mailing Address - Phone:717-435-9191
Mailing Address - Fax:
Practice Address - Street 1:801 E PARK DR STE 106A
Practice Address - Street 2:
Practice Address - City:HARRISBURG
Practice Address - State:PA
Practice Address - Zip Code:17111-2816
Practice Address - Country:US
Practice Address - Phone:717-435-9191
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-05-24
Last Update Date:2025-03-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health