Provider Demographics
NPI:1740628767
Name:ANGELS OVER US,LLC
Entity type:Organization
Organization Name:ANGELS OVER US,LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR/DON
Authorized Official - Prefix:MS
Authorized Official - First Name:LANI
Authorized Official - Middle Name:CABRAL
Authorized Official - Last Name:DELEON
Authorized Official - Suffix:
Authorized Official - Credentials:RN,BSN
Authorized Official - Phone:409-466-0642
Mailing Address - Street 1:7007 GULF FWY STE 222D
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77087-2503
Mailing Address - Country:US
Mailing Address - Phone:409-466-0642
Mailing Address - Fax:713-981-1811
Practice Address - Street 1:7007 GULF FWY STE 222D
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77087-2503
Practice Address - Country:US
Practice Address - Phone:409-466-0642
Practice Address - Fax:713-981-1811
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-06-12
Last Update Date:2013-06-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health