Provider Demographics
NPI:1811716376
Name:TOUCHED BY ANGELS LLC
Entity type:Organization
Organization Name:TOUCHED BY ANGELS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:TINA
Authorized Official - Middle Name:
Authorized Official - Last Name:BRASHEAR
Authorized Official - Suffix:
Authorized Official - Credentials:LPN
Authorized Official - Phone:317-721-7051
Mailing Address - Street 1:1311 W 96TH ST STE 295
Mailing Address - Street 2:
Mailing Address - City:INDIANAPOLIS
Mailing Address - State:IN
Mailing Address - Zip Code:46260-0010
Mailing Address - Country:US
Mailing Address - Phone:317-721-7051
Mailing Address - Fax:
Practice Address - Street 1:1311 W 96TH ST STE 295
Practice Address - Street 2:
Practice Address - City:INDIANAPOLIS
Practice Address - State:IN
Practice Address - Zip Code:46260-0010
Practice Address - Country:US
Practice Address - Phone:317-721-7051
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-10-10
Last Update Date:2024-10-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care