Provider Demographics
NPI:1770134272
Name:ANGEL HEALING HANDS HOME CARE LLC
Entity type:Organization
Organization Name:ANGEL HEALING HANDS HOME CARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MRS
Authorized Official - First Name:TARSHA
Authorized Official - Middle Name:
Authorized Official - Last Name:ALLEN
Authorized Official - Suffix:
Authorized Official - Credentials:LPN
Authorized Official - Phone:337-384-5419
Mailing Address - Street 1:1708 N PARKERSON AVE STE 6
Mailing Address - Street 2:
Mailing Address - City:CROWLEY
Mailing Address - State:LA
Mailing Address - Zip Code:70526-2380
Mailing Address - Country:US
Mailing Address - Phone:337-435-0022
Mailing Address - Fax:337-514-5007
Practice Address - Street 1:1708 N PARKERSON AVE STE 6
Practice Address - Street 2:
Practice Address - City:CROWLEY
Practice Address - State:LA
Practice Address - Zip Code:70526-2380
Practice Address - Country:US
Practice Address - Phone:337-435-0022
Practice Address - Fax:337-514-5007
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-09-25
Last Update Date:2024-06-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care
Provider Identifiers
StateIdentifier IDID TypeIssuer
LA2203784397OtherLOUISIANA DEPARTMENT OF HEALTH AND HOSPITALS LICENSE