Provider Demographics
NPI:1952541567
Name:ANGELIC HOME HEALTH CARE SERVICES
Entity Type:Organization
Organization Name:ANGELIC HOME HEALTH CARE SERVICES
Other - Org Name:ANGELIC HOME HEALTH CARE SERVICES
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MS
Authorized Official - First Name:CAJUAN
Authorized Official - Middle Name:M
Authorized Official - Last Name:SIMPSON
Authorized Official - Suffix:
Authorized Official - Credentials:OWNER
Authorized Official - Phone:469-337-6885
Mailing Address - Street 1:445 E FM 1382
Mailing Address - Street 2:SUITE 3-376
Mailing Address - City:CEDAR HILL
Mailing Address - State:TX
Mailing Address - Zip Code:75104-6047
Mailing Address - Country:US
Mailing Address - Phone:469-337-6885
Mailing Address - Fax:
Practice Address - Street 1:3509 VERONICA DR
Practice Address - Street 2:
Practice Address - City:FLOWER MOUND
Practice Address - State:TX
Practice Address - Zip Code:75022-0976
Practice Address - Country:US
Practice Address - Phone:469-337-6885
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:ANGELIC INC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2009-02-23
Last Update Date:2009-02-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health