Healthcare Provider Details
I. General information
NPI: 1538974746
Provider Name (Legal Business Name): ANGEL CARE, LLC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 02/13/2025
Last Update Date: 12/05/2025
Certification Date: 12/05/2025
Deactivation Date:
Reactivation Date:
III. Provider practice location address
4561 SE 35TH CT
DES MOINES IA
50320-2127
US
IV. Provider business mailing address
4561 SE 35TH CT
DES MOINES IA
50320-2127
US
V. Phone/Fax
- Phone: 515-669-7635
- Fax:
- Phone: 515-669-7635
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 251E00000X |
| Taxonomy | Home Health Agency |
| License Number | |
| License Number State | |
| # 2 | |
| Primary Taxonomy | N |
| Taxonomy Code | 253Z00000X |
| Taxonomy | In Home Supportive Care Agency |
| License Number | |
| License Number State | |
| # 3 | |
| Primary Taxonomy | N |
| Taxonomy Code | 261QA0600X |
| Taxonomy | Adult Day Care Clinic/Center |
| License Number | |
| License Number State | |
| # 4 | |
| Primary Taxonomy | N |
| Taxonomy Code | 385H00000X |
| Taxonomy | Respite Care |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
PUSPA
ADHIKARI
Title or Position: OWNER/ PARTNER
Credential:
Phone: 515-669-7635