Provider Demographics
NPI:1780078543
Name:ANGELS SENIOR HOME HEALTH CARE, CORP.
Entity type:Organization
Organization Name:ANGELS SENIOR HOME HEALTH CARE, CORP.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:ROBERTO
Authorized Official - Middle Name:
Authorized Official - Last Name:SANTIESTEBAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:407-930-7071
Mailing Address - Street 1:4300 S SEMORAN BLVD
Mailing Address - Street 2:SUITE 201
Mailing Address - City:ORLANDO
Mailing Address - State:FL
Mailing Address - Zip Code:32822-2484
Mailing Address - Country:US
Mailing Address - Phone:407-930-7071
Mailing Address - Fax:407-930-7072
Practice Address - Street 1:4300 S SEMORAN BLVD
Practice Address - Street 2:SUITE 201
Practice Address - City:ORLANDO
Practice Address - State:FL
Practice Address - Zip Code:32822-2484
Practice Address - Country:US
Practice Address - Phone:407-930-7071
Practice Address - Fax:407-930-7072
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-03-19
Last Update Date:2015-03-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health