Provider Demographics
NPI:1841622479
Name:ANGELS IN HOME CARE, LLC
Entity type:Organization
Organization Name:ANGELS IN HOME CARE, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:ELOISE
Authorized Official - Middle Name:G
Authorized Official - Last Name:DIXON
Authorized Official - Suffix:
Authorized Official - Credentials:NRCMA
Authorized Official - Phone:941-586-1114
Mailing Address - Street 1:3003 CLAY CIR
Mailing Address - Street 2:
Mailing Address - City:SARASOTA
Mailing Address - State:FL
Mailing Address - Zip Code:34234-6313
Mailing Address - Country:US
Mailing Address - Phone:941-677-0075
Mailing Address - Fax:941-343-2545
Practice Address - Street 1:3003 CLAY CIR
Practice Address - Street 2:
Practice Address - City:SARASOTA
Practice Address - State:FL
Practice Address - Zip Code:34234-6313
Practice Address - Country:US
Practice Address - Phone:941-677-0075
Practice Address - Fax:941-343-2545
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-08-06
Last Update Date:2013-08-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL79963-927955053011253Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care