Provider Demographics
NPI:1831420314
Name:ANGELS TOUCH ELDERLY CARE
Entity type:Organization
Organization Name:ANGELS TOUCH ELDERLY CARE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:NYCOLE
Authorized Official - Middle Name:
Authorized Official - Last Name:CAVINS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:901-864-8602
Mailing Address - Street 1:7605 FOX BRIDGE CV
Mailing Address - Street 2:
Mailing Address - City:MEMPHIS
Mailing Address - State:TN
Mailing Address - Zip Code:38125-3622
Mailing Address - Country:US
Mailing Address - Phone:901-864-8602
Mailing Address - Fax:901-291-6697
Practice Address - Street 1:7605 FOX BRIDGE CV
Practice Address - Street 2:
Practice Address - City:MEMPHIS
Practice Address - State:TN
Practice Address - Zip Code:38125-3622
Practice Address - Country:US
Practice Address - Phone:901-864-8602
Practice Address - Fax:901-291-6697
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-01-22
Last Update Date:2010-01-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN109005845251300000X, 251C00000X, 251J00000X, 253Z00000X, 332B00000X, 251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
No251300000XAgenciesLocal Education Agency (LEA)
No251C00000XAgenciesDay Training, Developmentally Disabled Services
No251J00000XAgenciesNursing Care
No253Z00000XAgenciesIn Home Supportive Care
No332B00000XSuppliersDurable Medical Equipment & Medical Supplies