Provider Demographics
NPI:1912336330
Name:DIANAS ANGELS HOME CARE INC
Entity Type:Organization
Organization Name:DIANAS ANGELS HOME CARE INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MRS
Authorized Official - First Name:DRITA
Authorized Official - Middle Name:
Authorized Official - Last Name:DJELJEVIC
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:914-664-3161
Mailing Address - Street 1:136 STEVENS AVE
Mailing Address - Street 2:
Mailing Address - City:MOUNT VERNON
Mailing Address - State:NY
Mailing Address - Zip Code:10550-2604
Mailing Address - Country:US
Mailing Address - Phone:914-664-3161
Mailing Address - Fax:914-664-3162
Practice Address - Street 1:136 STEVENS AVE
Practice Address - Street 2:
Practice Address - City:MOUNT VERNON
Practice Address - State:NY
Practice Address - Zip Code:10550-2604
Practice Address - Country:US
Practice Address - Phone:914-664-3161
Practice Address - Fax:914-664-3162
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-11-06
Last Update Date:2014-03-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health