Provider Demographics
NPI:1831810001
Name:RELIANT ANGELS HOMECARE LLC
Entity type:Organization
Organization Name:RELIANT ANGELS HOMECARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:NICOLA
Authorized Official - Middle Name:
Authorized Official - Last Name:JOSEPH
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:203-510-5215
Mailing Address - Street 1:PO BOX 6393
Mailing Address - Street 2:
Mailing Address - City:WOLCOTT
Mailing Address - State:CT
Mailing Address - Zip Code:06716-0393
Mailing Address - Country:US
Mailing Address - Phone:203-441-4097
Mailing Address - Fax:866-492-0180
Practice Address - Street 1:4 CLIFF ST
Practice Address - Street 2:
Practice Address - City:WOLCOTT
Practice Address - State:CT
Practice Address - Zip Code:06716-1705
Practice Address - Country:US
Practice Address - Phone:203-510-5215
Practice Address - Fax:866-492-0180
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-09-07
Last Update Date:2022-09-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care