Provider Demographics
NPI:1952802332
Name:HARMONY ANGELS HOME CARE, LLC
Entity Type:Organization
Organization Name:HARMONY ANGELS HOME CARE, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR OF CARE
Authorized Official - Prefix:MS
Authorized Official - First Name:LASHAKA
Authorized Official - Middle Name:DAVIA
Authorized Official - Last Name:SMITH
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:334-338-1322
Mailing Address - Street 1:1348 STANLEY AVE
Mailing Address - Street 2:
Mailing Address - City:ROANOKE
Mailing Address - State:AL
Mailing Address - Zip Code:36274-1865
Mailing Address - Country:US
Mailing Address - Phone:334-338-1322
Mailing Address - Fax:
Practice Address - Street 1:1348 STANLEY AVE
Practice Address - Street 2:
Practice Address - City:ROANOKE
Practice Address - State:AL
Practice Address - Zip Code:36274-1865
Practice Address - Country:US
Practice Address - Phone:334-338-1322
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-02-22
Last Update Date:2018-02-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL253Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care