MEDICARE: ANGEL'S CARE HOME HEALTH SERVICES, INC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	251E00000X	Home Health Agency	2004199	IL

General Provider Information

NPI Number	:	1265732655
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ANGEL'S CARE HOME HEALTH SERVICES, INC

Provider Business Mailing Address
First Line	:	5418 N KEDZIE AVE
Second Line	:
City	:	CHICAGO
State	:	IL
Zip	:	60625-3922
Country	:	US
Telephone Number	:	773-279-8078
Fax Number	:	773-279-8079

Provider Business Practice Location Address
First Line	:	5418 N KEDZIE AVE
Second Line	:
City	:	CHICAGO
State	:	IL
Zip	:	60625-3922
Country	:	US
Telephone Number	:	773-279-8078
Fax Number	:	773-279-8079

Authorized Official
Title or Position	:	ADMINISTRATOR
Name	:	MR. VINCENT SANCHEZ
Credential	:
Telephone Number	:	773-279-8078

Provider Enumeration Date	:	11/01/2010
Last Update Date	:	09/11/2025

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