MEDICARE: A PLUS ANGELS, LLC.

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	3747P1801X	Personal Care Attendant	017054	TX

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1457603821
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	A PLUS ANGELS, LLC.

Provider Business Mailing Address
First Line	:	3707 FM 1960 RD W
Second Line	:	SUITE 200G
City	:	HOUSTON
State	:	TX
Zip	:	77068-3526
Country	:	US
Telephone Number	:	832-405-2511
Fax Number	:

Provider Business Practice Location Address
First Line	:	3707 FM 1960 RD W
Second Line	:	SUITE 200G
City	:	HOUSTON
State	:	TX
Zip	:	77068-3526
Country	:	US
Telephone Number	:	832-405-2511
Fax Number	:

Authorized Official
Title or Position	:	ADMINISTRATOR
Name	:	MS. TIFFANY POCHE
Credential	:
Telephone Number	:	832-405-2511

Provider Enumeration Date	:	10/10/2012
Last Update Date	:	05/10/2016

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