Provider Demographics
NPI:1982252623
Name:ANGELS OF CARE HOSPICE LLC
Entity Type:Organization
Organization Name:ANGELS OF CARE HOSPICE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR/OWNER
Authorized Official - Prefix:
Authorized Official - First Name:GRACE
Authorized Official - Middle Name:
Authorized Official - Last Name:DARKO
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:972-516-1069
Mailing Address - Street 1:8330 LBJ FWY STE 915
Mailing Address - Street 2:
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75243-1387
Mailing Address - Country:US
Mailing Address - Phone:972-516-1069
Mailing Address - Fax:888-607-7023
Practice Address - Street 1:8330 LBJ FWY STE 915
Practice Address - Street 2:
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75243-1387
Practice Address - Country:US
Practice Address - Phone:972-516-1069
Practice Address - Fax:888-607-7023
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-08-27
Last Update Date:2024-02-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251G00000XAgenciesHospice Care, Community Based
No251E00000XAgenciesHome Health
No251J00000XAgenciesNursing Care