MEDICARE: ANGEL HANDS COMPANION SERVICES

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

General Provider Information

NPI Number	:	1437524550
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ANGEL HANDS COMPANION SERVICES

Provider Business Mailing Address
First Line	:	616 51ST ST
Second Line	:
City	:	WEST PALM BEACH
State	:	FL
Zip	:	33407-2720
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	616 51ST ST
Second Line	:
City	:	WEST PALM BEACH
State	:	FL
Zip	:	33407-2720
Country	:	US
Telephone Number	:	800-615-4101
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	PATRICE GODSHAD
Credential	:
Telephone Number	:	800-615-4101

Provider Enumeration Date	:	12/01/2015
Last Update Date	:	12/01/2015

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Directions to “ANGEL HANDS COMPANION SERVICES ” Practice Location

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