Provider Demographics
NPI:1770354029
Name:ANGEL HANDS HOME CARE INC
Entity type:Organization
Organization Name:ANGEL HANDS HOME CARE INC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:SUNDAY
Authorized Official - Middle Name:LARRY
Authorized Official - Last Name:OMOTOSO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:317-450-8395
Mailing Address - Street 1:6429 KENTSTONE DR
Mailing Address - Street 2:
Mailing Address - City:INDIANAPOLIS
Mailing Address - State:IN
Mailing Address - Zip Code:46268-4864
Mailing Address - Country:US
Mailing Address - Phone:317-450-8395
Mailing Address - Fax:
Practice Address - Street 1:6214 MORENCI TRL STE 150
Practice Address - Street 2:
Practice Address - City:INDIANAPOLIS
Practice Address - State:IN
Practice Address - Zip Code:46268-4871
Practice Address - Country:US
Practice Address - Phone:317-450-8395
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-01-15
Last Update Date:2025-01-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes253Z00000XAgenciesIn Home Supportive Care
No3747A0650XNursing Service Related ProvidersTechnicianAttendant Care ProviderGroup - Multi-Specialty
No3747P1801XNursing Service Related ProvidersTechnicianPersonal Care AttendantGroup - Multi-Specialty
No376J00000XNursing Service Related ProvidersHomemakerGroup - Multi-Specialty